Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $195.34 / $435.24 / $435.24	Facility		$195.34	$435.24	$435.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $802.00 / $919.93 / $919.93	Professional		$802.00	$919.93	$919.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $166.82 / $242.17	Facility		$108.80	$166.82	$242.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $167.14 / $243.74	Facility		$108.80	$167.14	$243.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $100.40 / $100.40	Professional		$100.40	$100.40	$100.40