Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
BCBS Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $3,796.70 / $10,993.15	Facility		$650.00	$3,796.70	$10,993.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,667.30 / $20,734.37 / $20,734.37	Facility		$12,667.30	$20,734.37	$20,734.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384,129.36 / $384,129.36 / $384,129.36	Facility		$384,129.36	$384,129.36	$384,129.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,713.24 / $6,713.24 / $6,713.24	Facility		$6,713.24	$6,713.24	$6,713.24
United Facility/Professional Facility Modifier Low / Median / High Price $6,519.04 / $6,519.04 / $6,521.68	Facility		$6,519.04	$6,519.04	$6,521.68