Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $86.77 / $90.00 / $90.00	Facility		$86.77	$90.00	$90.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $63.85 / $111.00	Facility		$63.85	$63.85	$111.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $63.85 / $111.00	Facility		$63.85	$63.85	$111.00