Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $69.54 / $97.36	Facility		$49.54	$69.54	$97.36
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.60 / $198.75 / $290.97	Professional		$89.60	$198.75	$290.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $49.54 / $85.88	Facility		$41.28	$49.54	$85.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $187.00 / $314.50	Professional		$76.50	$187.00	$314.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $149.82 / $254.69	Professional		$76.45	$149.82	$254.69