Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $16,218.10 / $16,218.10	Professional		$5,495.41	$16,218.10	$16,218.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $12,302.69 / $12,302.69	Professional		$4,897.79	$12,302.69	$12,302.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $3,801.89 / $5,754.40	Professional		$1,148.15	$3,801.89	$5,754.40