Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $180.00 / $216.00 / $247.56	Professional	QX	$180.00	$216.00	$247.56
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $180.00 / $216.00 / $247.56	Professional	QY	$180.00	$216.00	$247.56