Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.20 / $775.20 / $775.20	Facility		$775.20	$775.20	$775.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $355.58 / $364.52 / $374.19	Facility		$355.58	$364.52	$374.19