Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $100.00	Facility		$80.00	$80.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.97 / $1.97 / $3.83	Facility		$1.97	$1.97	$3.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.74 / $0.74 / $0.74	Facility		$0.74	$0.74	$0.74