Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $240.32 / $297.20	Facility		$203.36	$240.32	$297.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $221.72 / $221.72	Professional		$221.72	$221.72	$221.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $240.32 / $297.20	Facility		$203.36	$240.32	$297.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.72 / $221.72 / $221.72	Professional		$221.72	$221.72	$221.72