Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,074.00 / $1,074.00 / $1,074.00	Facility		$1,074.00	$1,074.00	$1,074.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $482.82 / $482.82 / $482.82	Professional		$482.82	$482.82	$482.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.81 / $243.81 / $351.46	Professional		$243.81	$243.81	$351.46