Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,578.19 / $1,668.37 / $1,803.64	Facility		$1,578.19	$1,668.37	$1,803.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $1,014.55 / $1,014.55	Professional		$405.82	$1,014.55	$1,014.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,578.19 / $1,668.37 / $1,803.64	Facility		$1,578.19	$1,668.37	$1,803.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,240.00 / $1,240.00 / $1,240.00	Professional		$1,240.00	$1,240.00	$1,240.00