Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,949.84	Professional		$575.44	$630.96	$1,949.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $1,122.02 / $2,570.40	Professional		$371.54	$1,122.02	$2,570.40