Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $43.97 / $131.91	Professional		$43.97	$43.97	$131.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $98.93	Professional		$39.57	$39.57	$98.93
United Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $132.66 / $132.66	Professional		$132.66	$132.66	$132.66