Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Providence Facility/Professional Professional Modifier QX Low / Median / High Price $116.00 / $144.00 / $165.04	Professional	QX	$116.00	$144.00	$165.04
Providence Facility/Professional Professional Modifier QY Low / Median / High Price $116.00 / $144.00 / $165.04	Professional	QY	$116.00	$144.00	$165.04