Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,754.23	Professional		$1,288.25	$1,445.44	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $4,677.35	Professional		$794.33	$977.24	$4,677.35