Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.29 / $213.29 / $354.20	Facility		$213.29	$213.29	$354.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $213.29 / $354.20	Facility		$114.29	$213.29	$354.20