Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $101.00 / $101.00	Professional		$40.00	$101.00	$101.00