Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,698.24	Professional		$616.60	$616.60	$1,698.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $407.38	Professional		$380.19	$380.19	$407.38
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $537.03 / $2,454.71	Professional		$169.82	$537.03	$2,454.71