Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $210.87 / $627.09 / $627.09	Facility		$210.87	$627.09	$627.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,261.94 / $1,261.94 / $1,261.94	Professional		$1,261.94	$1,261.94	$1,261.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $215.91 / $349.66	Facility		$85.72	$215.91	$349.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.72 / $213.05 / $349.66	Facility		$85.72	$213.05	$349.66