Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $174.00 / $210.00 / $243.00	Professional	QX	$174.00	$210.00	$243.00
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $174.00 / $210.00 / $243.00	Professional	QY	$174.00	$210.00	$243.00