Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $269.15 / $794.33	Facility		$194.98	$269.15	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $251.19 / $794.33	Facility		$194.98	$251.19	$794.33