Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $287.79 / $287.79 / $319.77	Facility		$287.79	$287.79	$319.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $465.11 / $1,071.18	Facility		$161.50	$465.11	$1,071.18