Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $241.05 / $305.00	Facility		$203.36	$241.05	$305.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.43 / $222.43 / $222.43	Professional		$222.43	$222.43	$222.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.36 / $241.05 / $305.00	Facility		$203.36	$241.05	$305.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $222.43 / $222.43 / $222.43	Professional		$222.43	$222.43	$222.43