Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $775.13 / $1,250.24 / $1,508.73	Facility		$775.13	$1,250.24	$1,508.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,176.83 / $1,176.83	Professional		$1,176.83	$1,176.83	$1,176.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $775.13 / $1,250.24 / $1,508.73	Facility		$775.13	$1,250.24	$1,508.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,176.83 / $1,176.83 / $1,176.83	Professional		$1,176.83	$1,176.83	$1,176.83