Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.12 / $471.89 / $591.22	Professional		$386.12	$471.89	$591.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.08 / $367.70 / $790.56	Facility		$159.08	$367.70	$790.56
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $108.63 / $26,836.23 / $51,883.29	Facility		$108.63	$26,836.23	$51,883.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.46 / $367.70 / $790.56	Facility		$152.46	$367.70	$790.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.18 / $190.90 / $433.07	Professional		$143.18	$190.90	$433.07
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $66,151.67 / $95,062.76 / $121,137.79	Facility		$66,151.67	$95,062.76	$121,137.79
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.94 / $628.19 / $922.98	Professional		$468.94	$628.19	$922.98
United Facility/Professional Professional Modifier Low / Median / High Price $440.91 / $566.77 / $792.06	Professional		$440.91	$566.77	$792.06