Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,610.07 / $11,028.25 / $11,028.25	Facility		$1,610.07	$11,028.25	$11,028.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,443.79 / $3,443.79 / $3,645.44	Professional		$3,443.79	$3,443.79	$3,645.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.34 / $463.39 / $1,130.64	Facility		$152.34	$463.39	$1,130.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $149.21 / $150.09	Professional		$149.21	$149.21	$150.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.75 / $171.30 / $624.10	Facility		$151.75	$171.30	$624.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $149.21 / $149.21	Professional		$149.21	$149.21	$149.21
United Facility/Professional Professional Modifier Low / Median / High Price $443.90 / $620.59 / $988.99	Professional		$443.90	$620.59	$988.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.09 / $205.39 / $629.24	Professional		$150.09	$205.39	$629.24