Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,275.00 / $6,899.46 / $7,672.50	Professional		$4,275.00	$6,899.46	$7,672.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,842.31 / $6,034.05 / $8,560.86	Professional		$1,842.31	$6,034.05	$8,560.86