Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,687.50 / $3,091.50 / $4,243.77	Professional		$2,687.50	$3,091.50	$4,243.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,655.86 / $3,225.00 / $5,117.00	Professional		$2,655.86	$3,225.00	$5,117.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,140.79 / $1,754.70 / $2,653.58	Professional		$1,140.79	$1,754.70	$2,653.58