Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $946.67 / $946.67 / $2,704.76	Facility		$946.67	$946.67	$2,704.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,267.77 / $3,267.77 / $3,267.77	Facility		$3,267.77	$3,267.77	$3,267.77