Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Facility		$7,500.00	$7,500.00	$7,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $7,500.00 / $7,500.00 / $7,500.00	Facility		$7,500.00	$7,500.00	$7,500.00