Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.80 / $364.80 / $364.80	Facility		$364.80	$364.80	$364.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.06 / $385.10 / $387.97	Facility		$104.06	$385.10	$387.97