Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $421.11 / $748.56 / $748.56	Facility		$421.11	$748.56	$748.56
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 $112.08 / $176.81 / $375.55	Facility		$112.08	$176.81	$375.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $176.81 / $375.55	Facility		$112.08	$176.81	$375.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $249.31 / $249.31 / $249.31	Professional		$249.31	$249.31	$249.31