Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $473.69 / $901.47 / $1,119.05	Facility		$473.69	$901.47	$1,119.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $864.45 / $864.45 / $864.45	Professional		$864.45	$864.45	$864.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $473.69 / $901.47 / $1,119.05	Facility		$473.69	$901.47	$1,119.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $864.45 / $864.45 / $864.45	Professional		$864.45	$864.45	$864.45