Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.63 / $261.63 / $261.63	Facility		$261.63	$261.63	$261.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $55.26 / $170.04	Facility		$52.67	$55.26	$170.04