Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $100.00 / $100.00	Facility		$80.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Facility		$17.64	$17.64	$17.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $3.42 / $3.42 / $3.42	Facility		$3.42	$3.42	$3.42