Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $548.01 / $720.69 / $895.06	Facility		$548.01	$720.69	$895.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $687.56 / $687.56 / $687.56	Professional		$687.56	$687.56	$687.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $548.01 / $720.69 / $895.06	Facility		$548.01	$720.69	$895.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $687.56 / $687.56 / $687.56	Professional		$687.56	$687.56	$687.56