Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $976.07 / $1,278.11 / $1,827.71	Facility		$976.07	$1,278.11	$1,827.71
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,557.50 / $4,126.70 / $6,626.00	Professional		$3,557.50	$4,126.70	$6,626.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $976.07 / $976.07 / $976.07	Facility		$976.07	$976.07	$976.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,171.28 / $4,969.50 / $7,570.21	Professional		$1,171.28	$4,969.50	$7,570.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,010.38 / $4,518.75 / $9,746.34	Professional		$2,010.38	$4,518.75	$9,746.34