Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,492.71 / $3,206.75 / $4,170.75	Facility		$2,492.71	$3,206.75	$4,170.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,114.49 / $3,114.49 / $3,114.49	Professional		$3,114.49	$3,114.49	$3,114.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,492.71 / $3,206.75 / $4,170.75	Facility		$2,492.71	$3,206.75	$4,170.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,114.49 / $3,114.49 / $3,114.49	Professional		$3,114.49	$3,114.49	$3,114.49