Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $125.15 / $286.44 / $286.44	Facility		$125.15	$286.44	$286.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $95.49 / $129.06	Facility		$75.72	$95.49	$129.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $95.49 / $129.06	Facility		$75.72	$95.49	$129.06