Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $407.38	Professional		$371.54	$371.54	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $416.87	Facility		$190.55	$204.17	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $204.17	Professional		$158.49	$186.21	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07