Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $100.00 / $100.00	Facility		$55.03	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $36.86 / $42.77	Facility		$20.23	$36.86	$42.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $36.86 / $42.77	Facility		$20.23	$36.86	$42.77