Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,380.38 / $2,187.76	Facility		$776.25	$1,380.38	$2,187.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,318.26 / $2,137.96	Facility		$758.58	$1,318.26	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11