Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $788.18 / $788.18 / $788.18	Facility		$788.18	$788.18	$788.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $962.54 / $962.54 / $962.54	Facility		$962.54	$962.54	$962.54