Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $728.75 / $1,110.46 / $1,188.47	Facility		$728.75	$1,110.46	$1,188.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $981.51 / $981.51 / $981.51	Professional		$981.51	$981.51	$981.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.75 / $1,110.46 / $1,188.47	Facility		$728.75	$1,110.46	$1,188.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $981.51 / $981.51 / $981.51	Professional		$981.51	$981.51	$981.51