Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $249.45 / $249.45	Professional		$249.45	$249.45	$249.45
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
Providence 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
Providence Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $195.00 / $2,250,000.00	Professional		$195.00	$195.00	$2,250,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.33 / $304.87 / $598.67	Professional		$299.33	$304.87	$598.67