Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $817.92 / $1,093.50	Facility		$405.00	$817.92	$1,093.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $942.73 / $942.73 / $942.73	Professional		$942.73	$942.73	$942.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $817.92 / $1,093.50	Facility		$450.00	$817.92	$1,093.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $942.73 / $942.73 / $942.73	Professional		$942.73	$942.73	$942.73