Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $8,302.89 / $11,624.05	Facility		$85.88	$8,302.89	$11,624.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.04 / $275.00 / $14,808.15	Professional		$118.04	$275.00	$14,808.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $87.38 / $104.86	Facility		$85.88	$87.38	$104.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $249.60 / $13,711.25	Professional		$104.86	$249.60	$13,711.25
United Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $182.04 / $309.47	Professional		$109.83	$182.04	$309.47