Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $18.89 / $41.26	Facility		$8.40	$18.89	$41.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.79 / $1.79	Facility		$1.79	$1.79	$1.79