Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $954.11 / $1,289.35	Facility		$626.49	$954.11	$1,289.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $966.32 / $966.32 / $966.32	Professional		$966.32	$966.32	$966.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.49 / $953.10 / $1,161.09	Facility		$626.49	$953.10	$1,161.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.32 / $966.32 / $966.32	Professional		$966.32	$966.32	$966.32