Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,005.21 / $3,896.43 / $5,336.28	Facility		$1,005.21	$3,896.43	$5,336.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,005.49 / $1,005.49 / $1,005.49	Professional		$1,005.49	$1,005.49	$1,005.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $979.80 / $3,896.43 / $5,336.28	Facility		$979.80	$3,896.43	$5,336.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,005.49 / $1,005.49 / $1,005.49	Professional		$1,005.49	$1,005.49	$1,005.49