Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $243.44 / $348.12	Facility		$198.85	$243.44	$348.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.25 / $707.40 / $1,138.50	Professional		$616.25	$707.40	$1,138.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $238.62 / $642.00 / $958.65	Professional		$238.62	$642.00	$958.65
United Facility/Professional Professional Modifier Low / Median / High Price $230.68 / $443.28 / $667.54	Professional		$230.68	$443.28	$667.54