Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $687.43 / $962.40 / $983.02	Facility		$687.43	$962.40	$983.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,127.50 / $2,392.19 / $3,282.00	Professional		$1,127.50	$2,392.19	$3,282.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,215.00 / $2,461.50 / $3,905.58	Professional		$2,215.00	$2,461.50	$3,905.58
United Facility/Professional Professional Modifier Low / Median / High Price $870.19 / $2,223.36 / $3,411.73	Professional		$870.19	$2,223.36	$3,411.73