Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $1,202.26	Facility		$426.58	$707.95	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $707.95 / $912.01	Facility		$426.58	$707.95	$912.01