Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.32 / $375.32 / $408.50	Professional		$375.32	$375.32	$408.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $171.16	Professional		$142.63	$171.16	$171.16
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Facility		$142.63	$142.63	$142.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.02 / $181.14 / $310.93	Facility		$164.02	$181.14	$310.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.88 / $156.88 / $202.61	Professional		$156.88	$156.88	$202.61