Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,691.53	Facility		$575.44	$575.44	$2,691.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,000.00 / $2,691.53	Professional		$60.26	$1,000.00	$2,691.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $3,090.30	Facility		$2,089.30	$2,951.21	$3,090.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $3,019.95	Professional		$2,398.83	$2,951.21	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,398.83	Facility		$575.44	$575.44	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,348.96	Facility		$1,174.90	$1,174.90	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $4,265.80	Professional		$1,318.26	$1,513.56	$4,265.80