Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,391.67 / $3,092.51 / $3,881.04	Facility		$2,391.67	$3,092.51	$3,881.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,952.88 / $2,952.88 / $2,952.88	Professional		$2,952.88	$2,952.88	$2,952.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,391.67 / $3,092.51 / $3,881.04	Facility		$2,391.67	$3,092.51	$3,881.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,952.88 / $2,952.88 / $2,952.88	Professional		$2,952.88	$2,952.88	$2,952.88