Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $592.97 / $1,023.00 / $1,329.90	Professional		$592.97	$1,023.00	$1,329.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $303.42 / $807.60 / $1,191.88	Professional		$303.42	$807.60	$1,191.88