Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $93.28 / $129.19	Facility		$48.00	$93.28	$129.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $123.01 / $123.01	Professional		$123.01	$123.01	$123.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $95.40 / $129.19	Facility		$48.00	$95.40	$129.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.01 / $123.01 / $123.01	Professional		$123.01	$123.01	$123.01