Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $192.42 / $194.52	Facility		$65.66	$192.42	$194.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $416.24 / $416.24	Professional		$231.28	$416.24	$416.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $68.66 / $115.20	Facility		$52.67	$68.66	$115.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $68.66 / $115.20	Facility		$52.67	$68.66	$115.20