Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,554.70 / $5,554.70 / $5,554.70	Facility		$5,554.70	$5,554.70	$5,554.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $1,785.33	Facility		$1,785.33	$1,785.33	$1,785.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.33 / $1,785.33 / $1,785.33	Facility		$1,785.33	$1,785.33	$1,785.33