Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $876.61 / $1,104.32	Facility		$626.15	$876.61	$1,104.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $627.22 / $2,241.00 / $3,532.20	Professional		$627.22	$2,241.00	$3,532.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.32 / $1,104.32 / $1,104.32	Facility		$1,104.32	$1,104.32	$1,104.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.00 / $763.98 / $2,241.00	Professional		$489.00	$763.98	$2,241.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $443.28 / $667.54	Professional		$230.68	$443.28	$667.54