Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,109.60 / $6,109.60 / $6,109.60	Facility		$6,109.60	$6,109.60	$6,109.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,694.44 / $1,694.44 / $1,694.44	Professional		$1,694.44	$1,694.44	$1,694.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00