Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $4,950.00 / $14,850.00	Professional		$4,950.00	$4,950.00	$14,850.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,455.00 / $4,455.00 / $11,137.50	Professional		$4,455.00	$4,455.00	$11,137.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,911.44 / $6,911.44 / $6,911.44	Professional		$6,911.44	$6,911.44	$6,911.44
United Facility/Professional Professional Modifier Low / Median / High Price $7,583.00 / $7,583.00 / $7,583.00	Professional		$7,583.00	$7,583.00	$7,583.00