Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $173.78	Facility		$109.65	$134.90	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $154.88 / $204.17	Facility		$104.71	$154.88	$204.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82