Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $326.63 / $326.63 / $326.63	Facility		$326.63	$326.63	$326.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $776.25 / $1,143.75	Professional		$585.00	$776.25	$1,143.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.00 / $721.50 / $1,149.54	Professional		$585.00	$721.50	$1,149.54
United Facility/Professional Professional Modifier Low / Median / High Price $294.64 / $483.69 / $1,845.18	Professional		$294.64	$483.69	$1,845.18