Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,215.40 / $2,215.40 / $2,215.40	Professional		$2,215.40	$2,215.40	$2,215.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,993.86 / $1,993.86 / $4,984.64	Professional		$1,993.86	$1,993.86	$4,984.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,092.35 / $6,092.35 / $6,092.35	Professional		$6,092.35	$6,092.35	$6,092.35
United Facility/Professional Professional Modifier Low / Median / High Price $6,684.33 / $6,684.33 / $6,684.33	Professional		$6,684.33	$6,684.33	$6,684.33