Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.23 / $1,178.31 / $1,416.68	Professional		$964.23	$1,178.31	$1,416.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $767.32 / $805.69 / $1,649.74	Facility		$767.32	$805.69	$1,649.74
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $745.43 / $3,552.27 / $5,089.79	Facility		$745.43	$3,552.27	$5,089.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $767.32 / $841.85 / $1,707.21	Facility		$767.32	$841.85	$1,707.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $904.64 / $904.64 / $904.64	Professional		$904.64	$904.64	$904.64
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $15,527.70 / $20,006.47 / $24,937.25	Facility		$15,527.70	$20,006.47	$24,937.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,036.43 / $1,569.62 / $2,039.94	Professional		$1,036.43	$1,569.62	$2,039.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,037.40 / $1,376.56 / $2,017.35	Professional		$1,037.40	$1,376.56	$2,017.35