Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $86.32 / $114.77	Facility		$50.95	$86.32	$114.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Professional		$86.82	$86.82	$86.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.95 / $86.32 / $114.77	Facility		$50.95	$86.32	$114.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $86.82 / $86.82 / $86.82	Professional		$86.82	$86.82	$86.82