Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,687.68 / $1,947.28 / $2,550.03	Facility		$1,687.68	$1,947.28	$2,550.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,925.88 / $1,925.88 / $1,925.88	Professional		$1,925.88	$1,925.88	$1,925.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,687.68 / $1,947.28 / $2,550.03	Facility		$1,687.68	$1,947.28	$2,550.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,925.88 / $1,925.88 / $1,925.88	Professional		$1,925.88	$1,925.88	$1,925.88