Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $2,137.96	Professional		$707.95	$707.95	$2,137.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,584.89 / $1,584.89	Professional		$630.96	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,412.54 / $2,137.96	Professional		$426.58	$1,412.54	$2,137.96