Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $104.69 / $138.11	Facility		$73.86	$104.69	$138.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Professional		$99.60	$99.60	$99.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $104.69 / $138.11	Facility		$73.86	$104.69	$138.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Professional		$99.60	$99.60	$99.60