Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $93.33 / $123.03	Facility		$79.43	$93.33	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $123.03	Facility		$79.43	$97.72	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $275.42	Professional		$97.72	$147.91	$275.42