Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.34 / $177.37 / $248.32	Facility		$124.34	$177.37	$248.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.27 / $177.37 / $248.32	Facility		$103.27	$177.37	$248.32