Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $125.18 / $192.52	Facility		$39.96	$125.18	$192.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $141.22	Professional		$141.22	$141.22	$141.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $125.18 / $192.52	Facility		$39.96	$125.18	$192.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.22 / $141.22 / $141.22	Professional		$141.22	$141.22	$141.22