Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,113.75 / $1,854.90 / $2,545.53	Professional		$1,113.75	$1,854.90	$2,545.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,113.75 / $1,648.35 / $2,191.08	Professional		$1,113.75	$1,648.35	$2,191.08