Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,625.88 / $1,918.16 / $2,110.83	Professional		$1,625.88	$1,918.16	$2,110.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $460.03 / $483.03 / $989.06	Facility		$460.03	$483.03	$989.06
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $587.60 / $25,447.52 / $54,523.70	Facility		$587.60	$25,447.52	$54,523.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $266.43 / $824.69 / $1,764.84	Facility		$266.43	$824.69	$1,764.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.78 / $784.13 / $1,045.50	Professional		$676.78	$784.13	$1,045.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $78,463.47 / $100,320.86 / $176,806.95	Facility		$78,463.47	$100,320.86	$176,806.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $785.89 / $1,408.93 / $1,972.26	Professional		$785.89	$1,408.93	$1,972.26
United Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $221.18 / $966.56	Professional		$166.26	$221.18	$966.56