Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.37 / $113.37 / $125.97	Facility		$113.37	$113.37	$125.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $117.46 / $130.51 / $3,284.51	Facility		$117.46	$130.51	$3,284.51