Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $389.05	Facility		$85.11	$85.11	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $331.13 / $489.78	Facility		$77.62	$331.13	$489.78