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 $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