Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $255.78 / $5,573.54 / $5,573.54	Professional		$255.78	$5,573.54	$5,573.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $83.92 / $83.92	Facility		$83.92	$83.92	$83.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $83.92 / $83.92	Facility		$83.92	$83.92	$83.92