Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,664.30 / $10,710.95 / $10,710.95	Facility		$1,664.30	$10,710.95	$10,710.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.36 / $1,328.36 / $1,394.85	Professional		$1,328.36	$1,328.36	$1,394.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $212.61 / $480.29	Facility		$151.75	$212.61	$480.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $150.09 / $154.22	Professional		$150.09	$150.09	$154.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.13 / $179.45 / $215.22	Facility		$152.13	$179.45	$215.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $242.64 / $285.45	Professional		$145.04	$242.64	$285.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.12 / $127.27 / $195.66	Professional		$94.12	$127.27	$195.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $205.39 / $306.02	Professional		$150.09	$205.39	$306.02