Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $374.50 / $427.19	Professional		$306.45	$374.50	$427.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.15 / $262.42 / $389.75	Facility		$161.15	$262.42	$389.75
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $100.63 / $161.35 / $3,309.98	Facility		$100.63	$161.35	$3,309.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.33 / $266.43 / $537.33	Facility		$151.33	$266.43	$537.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.04 / $193.38 / $343.83	Professional		$145.04	$193.38	$343.83
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $8,859.35 / $10,847.34 / $13,475.61	Facility		$8,859.35	$10,847.34	$13,475.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.29 / $422.63 / $559.54	Professional		$284.29	$422.63	$559.54
United Facility/Professional Professional Modifier Low / Median / High Price $166.26 / $228.82 / $533.36	Professional		$166.26	$228.82	$533.36