Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.58 / $362.43 / $772.93	Professional		$296.58	$362.43	$772.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.75 / $630.75 / $1,356.11	Facility		$630.75	$630.75	$1,356.11
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $259.85 / $2,624.50 / $3,754.21	Facility		$259.85	$2,624.50	$3,754.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $315.83 / $630.75 / $1,356.11	Facility		$315.83	$630.75	$1,356.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $743.37 / $743.37 / $743.37	Professional		$743.37	$743.37	$743.37
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 $710.87 / $946.20 / $1,748.98	Professional		$710.87	$946.20	$1,748.98
United Facility/Professional Professional Modifier Low / Median / High Price $786.35 / $1,197.20 / $1,821.51	Professional		$786.35	$1,197.20	$1,821.51