Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $836.10 / $1,170.54 / $1,195.61	Facility		$836.10	$1,170.54	$1,195.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,047.50 / $2,582.55 / $3,994.00	Professional		$2,047.50	$2,582.55	$3,994.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.58 / $1,047.58 / $1,047.58	Facility		$1,047.58	$1,047.58	$1,047.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,391.25 / $2,995.50 / $4,752.85	Professional		$2,391.25	$2,995.50	$4,752.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,803.26 / $2,704.89 / $4,150.67	Professional		$1,803.26	$2,704.89	$4,150.67