Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $147.41 / $219.37	Facility		$89.31	$147.41	$219.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.31 / $151.19 / $219.37	Facility		$89.31	$151.19	$219.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19