Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.26 / $136.26 / $179.00	Facility		$136.26	$136.26	$179.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $136.26 / $179.00	Facility		$73.05	$136.26	$179.00