Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $9,120.11	Professional		$3,019.95	$3,019.95	$9,120.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $6,760.83 / $6,760.83	Professional		$2,754.23	$6,760.83	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $6,025.60 / $9,120.11	Professional		$1,819.70	$6,025.60	$9,120.11