Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,843.96 / $17,524.30 / $17,524.30	Facility		$4,843.96	$17,524.30	$17,524.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,191.10 / $4,388.18 / $4,655.12	Professional		$4,191.10	$4,388.18	$4,655.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.86 / $818.63 / $1,376.01	Facility		$626.86	$818.63	$1,376.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $448.89 / $448.89 / $802.19	Professional		$448.89	$448.89	$802.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.55 / $871.38 / $1,120.34	Facility		$583.55	$871.38	$1,120.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $448.89 / $448.89 / $448.89	Professional		$448.89	$448.89	$448.89
United Facility/Professional Professional Modifier Low / Median / High Price $539.99 / $755.99 / $1,223.98	Professional		$539.99	$755.99	$1,223.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $802.19 / $805.19 / $1,105.14	Professional		$802.19	$805.19	$1,105.14