Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $400.07 / $572.10	Facility		$213.32	$400.07	$572.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $862.50 / $1,167.75 / $1,912.00	Professional		$862.50	$1,167.75	$1,912.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.32 / $213.32 / $213.32	Facility		$213.32	$213.32	$213.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $255.98 / $1,434.00 / $2,275.28	Professional		$255.98	$1,434.00	$2,275.28
United Facility/Professional Professional Modifier Low / Median / High Price $864.08 / $1,296.11 / $1,988.90	Professional		$864.08	$1,296.11	$1,988.90