Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.01 / $204.01 / $204.01	Facility		$204.01	$204.01	$204.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $197.33 / $197.33	Professional		$197.33	$197.33	$197.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.01 / $204.01 / $204.01	Facility		$204.01	$204.01	$204.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $197.33 / $197.33	Professional		$197.33	$197.33	$197.33