Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $83.18 / $128.82	Facility		$44.67	$83.18	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $87.10 / $134.90	Facility		$47.86	$87.10	$134.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03