Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,200.58 / $2,631.07 / $3,777.37	Facility		$2,200.58	$2,631.07	$3,777.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,801.25 / $2,801.25 / $2,801.25	Professional		$2,801.25	$2,801.25	$2,801.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,200.58 / $2,631.07 / $3,777.37	Facility		$2,200.58	$2,631.07	$3,777.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,801.25 / $2,801.25 / $2,801.25	Professional		$2,801.25	$2,801.25	$2,801.25