Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $457.09	Facility		$181.97	$288.40	$457.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $288.40 / $457.09	Facility		$181.97	$288.40	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40