Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $98.85 / $124.17	Facility		$64.00	$98.85	$124.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.00 / $26.62	Facility		$5.25	$12.00	$26.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $12.00 / $26.62	Facility		$5.25	$12.00	$26.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $20.71	Professional		$20.71	$20.71	$20.71