Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,682.00 / $11,452.41	Facility		$969.00	$3,682.00	$11,452.41
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,501.75 / $1,501.75 / $1,501.75	Facility		$1,501.75	$1,501.75	$1,501.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,498.40	Facility		$55.00	$55.00	$28,498.40
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $348.51 / $721.18 / $762.02	Facility	AS	$348.51	$721.18	$762.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,544.81 / $2,034.22 / $3,498.49	Facility		$1,544.81	$2,034.22	$3,498.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,536.94 / $2,042.99 / $3,974.56	Facility		$1,536.94	$2,042.99	$3,974.56
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $513.16 / $513.16 / $513.16	Facility	AS	$513.16	$513.16	$513.16
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00