Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,095.11 / $1,221.50 / $1,483.74	Facility		$1,095.11	$1,221.50	$1,483.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,162.58 / $1,162.58 / $1,162.58	Professional		$1,162.58	$1,162.58	$1,162.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.11 / $1,221.50 / $1,483.74	Facility		$1,095.11	$1,221.50	$1,483.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,162.58 / $1,162.58 / $1,162.58	Professional		$1,162.58	$1,162.58	$1,162.58