Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Facility		$700.00	$700.00	$700.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $700.00 / $700.00 / $700.00	Professional		$700.00	$700.00	$700.00
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 $700.00 / $700.00 / $1,484.00	Facility		$700.00	$700.00	$1,484.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.00 / $700.00 / $1,484.00	Facility		$700.00	$700.00	$1,484.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,250,000.00 / $2,400,000.00 / $2,400,000.00	Professional		$2,250,000.00	$2,400,000.00	$2,400,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $65.77 / $65.77 / $88.79	Professional		$65.77	$65.77	$88.79