Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $478.63 / $891.25	Facility		$245.47	$478.63	$891.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $478.63 / $831.76	Facility		$281.84	$478.63	$831.76