Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.04 / $130.04 / $213.85	Facility		$130.04	$130.04	$213.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04