Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $169.82 / $295.12	Professional		$58.88	$169.82	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $107.15	Facility		$60.26	$75.86	$107.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $204.17	Professional		$117.49	$117.49	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $158.49 / $263.03	Professional		$41.69	$158.49	$263.03