Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,202.26 / $1,659.59	Facility		$758.58	$1,202.26	$1,659.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,174.90 / $1,659.59	Facility		$758.58	$1,174.90	$1,659.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54