Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $853.40 / $4,752.03	Facility		$556.51	$853.40	$4,752.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $652.91 / $652.91	Professional		$652.91	$652.91	$652.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.51 / $853.40 / $4,752.03	Facility		$556.51	$853.40	$4,752.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $652.91 / $652.91 / $652.91	Professional		$652.91	$652.91	$652.91