Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.28 / $118.28 / $124.00	Facility		$118.28	$118.28	$124.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.56 / $118.28 / $158.94	Facility		$100.56	$118.28	$158.94