Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.93 / $679.93 / $872.83	Facility		$679.93	$679.93	$872.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,222.07 / $1,222.07 / $1,222.07	Facility		$1,222.07	$1,222.07	$1,222.07