Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $220.15 / $263.80 / $537.07	Facility		$220.15	$263.80	$537.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $239.24 / $239.24	Professional		$239.24	$239.24	$239.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.15 / $263.80 / $537.07	Facility		$220.15	$263.80	$537.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.24 / $239.24 / $239.24	Professional		$239.24	$239.24	$239.24