Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $139.87 / $179.69	Facility		$77.19	$139.87	$179.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $112.72 / $112.72	Professional		$112.72	$112.72	$112.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.19 / $133.91 / $179.69	Facility		$77.19	$133.91	$179.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $112.72 / $112.72	Professional		$112.72	$112.72	$112.72