Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $100.00	Facility		$39.81	$66.07	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $66.07 / $104.71	Facility		$39.81	$66.07	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33