Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $302.00 / $416.87	Facility		$213.80	$302.00	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $676.08	Facility		$269.15	$316.23	$676.08