Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,630.78 / $12,022.64	Facility		$977.24	$3,630.78	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,238.72 / $5,011.87	Professional		$1,348.96	$2,238.72	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $43,651.58 / $43,651.58 / $43,651.58	Facility		$43,651.58	$43,651.58	$43,651.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $46,773.51 / $46,773.51	Professional		$38,904.51	$46,773.51	$46,773.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $3,162.28 / $8,511.38	Facility		$812.83	$3,162.28	$8,511.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $5,011.87	Professional		$1,380.38	$2,238.72	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $6,025.60	Facility		$1,513.56	$2,630.27	$6,025.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,964.78 / $23,442.29	Facility		$4,365.16	$10,964.78	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,344.23	Professional		$977.24	$1,318.26	$2,344.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28