Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $55.20 / $75.90	Facility		$33.01	$55.20	$75.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $57.07 / $57.07	Professional		$57.07	$57.07	$57.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $56.00 / $75.90	Facility		$33.01	$56.00	$75.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $57.07 / $57.07	Professional		$57.07	$57.07	$57.07