Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.19 / $145.87 / $203.40	Facility		$104.19	$145.87	$203.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.05 / $626.00 / $1,123.75	Professional		$382.05	$626.00	$1,123.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $203.40 / $203.40 / $203.40	Facility		$203.40	$203.40	$203.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $353.75 / $469.50 / $744.94	Professional		$353.75	$469.50	$744.94
United Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $424.41 / $651.27	Professional		$166.07	$424.41	$651.27