Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $150.66 / $223.40 / $223.40	Facility		$150.66	$223.40	$223.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $63.85 / $63.85	Facility		$27.62	$63.85	$63.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $63.85 / $63.85	Facility		$27.62	$63.85	$63.85