Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,820.50 / $4,902.64 / $6,357.95	Facility		$2,820.50	$4,902.64	$6,357.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,740.58 / $4,740.58 / $4,740.58	Professional		$4,740.58	$4,740.58	$4,740.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,820.50 / $4,902.64 / $6,357.95	Facility		$2,820.50	$4,902.64	$6,357.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,740.58 / $4,740.58 / $4,740.58	Professional		$4,740.58	$4,740.58	$4,740.58