Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.98 / $116.98 / $116.98	Facility		$116.98	$116.98	$116.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $22.43 / $29.85	Professional		$22.43	$22.43	$29.85