Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $312.70 / $312.70 / $312.70	Facility		$312.70	$312.70	$312.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $369.00 / $369.00 / $369.00	Facility		$369.00	$369.00	$369.00