Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,504.00 / $10,836.00	Facility		$969.00	$3,504.00	$10,836.00
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,105.41 / $1,105.41 / $1,244.78	Facility		$1,105.41	$1,105.41	$1,244.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $14,513.20	Facility		$55.00	$55.00	$14,513.20
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $275.92 / $595.08 / $627.24	Facility	AS	$275.92	$595.08	$627.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.91 / $1,563.78 / $2,837.60	Facility		$1,193.91	$1,563.78	$2,837.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,193.91 / $1,573.17 / $2,993.46	Facility		$1,193.91	$1,573.17	$2,993.46
Providence Facility/Professional Facility Modifier 80 Low / Median / High Price $488.74 / $488.74 / $488.74	Facility	80	$488.74	$488.74	$488.74
Providence Facility/Professional Facility Modifier AS Low / Median / High Price $415.43 / $415.43 / $415.43	Facility	AS	$415.43	$415.43	$415.43
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