Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.00 / $3,947.00 / $13,401.00	Facility		$1,152.00	$3,947.00	$13,401.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,753.37 / $13,753.37 / $13,753.37	Professional		$13,753.37	$13,753.37	$13,753.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,435.39 / $16,335.99 / $27,474.17	Facility		$6,435.39	$16,335.99	$27,474.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13,753.37 / $13,753.37 / $14,716.11	Facility		$13,753.37	$13,753.37	$14,716.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,021.00 / $5,021.00 / $13,222.00	Professional		$5,021.00	$5,021.00	$13,222.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,753.37 / $13,753.37 / $13,753.37	Facility		$13,753.37	$13,753.37	$13,753.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,250,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,250,000.00	$2,400,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $5,262.00 / $10,476.00	Facility		$1,693.00	$5,262.00	$10,476.00