Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $382.76 / $568.79 / $843.72	Professional		$382.76	$568.79	$843.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.61 / $616.20 / $876.90	Professional		$250.61	$616.20	$876.90