Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $251.19 / $467.74	Facility		$128.82	$251.19	$467.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $281.84 / $478.63	Facility		$151.36	$281.84	$478.63