Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $251.19	Professional		$100.00	$100.00	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $12.88 / $28.84	Facility		$9.55	$12.88	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $24.55 / $38.02	Facility		$13.80	$24.55	$38.02