Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $501.33 / $745.02 / $745.02	Facility		$501.33	$745.02	$745.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $960.33 / $960.33 / $960.33	Professional		$960.33	$960.33	$960.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $176.81 / $374.14	Facility		$107.52	$176.81	$374.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.52 / $176.81 / $374.14	Facility		$107.52	$176.81	$374.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.17 / $248.17 / $248.17	Professional		$248.17	$248.17	$248.17