Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $141.25 / $199.53	Facility		$83.18	$141.25	$199.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $134.90 / $199.53	Facility		$97.72	$134.90	$199.53