Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $447.70 / $447.70 / $447.70	Facility	QK	$447.70	$447.70	$447.70
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $447.70 / $447.70 / $447.70	Facility	QX	$447.70	$447.70	$447.70