Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.85 / $115.85 / $325.70	Facility		$115.85	$115.85	$325.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $375.11 / $375.11 / $375.11	Facility		$375.11	$375.11	$375.11