Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $349.14 / $349.14 / $378.75	Facility		$349.14	$349.14	$378.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.21 / $349.14 / $378.75	Facility		$203.21	$349.14	$378.75