Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $90.00 / $90.00	Facility		$70.00	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $25.11 / $25.11	Facility		$25.11	$25.11	$25.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $25.11 / $25.11	Facility		$25.11	$25.11	$25.11