Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $287.14 / $419.52	Professional		$287.14	$287.14	$419.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $112.00 / $269.50	Professional		$82.02	$112.00	$269.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.50 / $104.50 / $3,495.87	Facility		$104.50	$104.50	$3,495.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.66 / $129.60 / $336.94	Professional		$84.66	$129.60	$336.94