Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $302.00 / $323.59	Facility		$89.13	$302.00	$323.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $323.59	Professional		$288.40	$288.40	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $28.84	Facility		$12.88	$12.88	$28.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.12 / $42.66	Facility		$16.60	$25.12	$42.66