Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $167.14 / $218.44	Facility		$110.62	$167.14	$218.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $168.57	Professional		$168.57	$168.57	$168.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.62 / $167.14 / $218.44	Facility		$110.62	$167.14	$218.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $168.57	Professional		$168.57	$168.57	$168.57