Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,741.64 / $2,633.40 / $3,414.00	Professional		$1,741.64	$2,633.40	$3,414.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,179.35 / $2,633.40 / $5,193.81	Professional		$1,179.35	$2,633.40	$5,193.81