Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.85 / $395.77 / $664.20	Professional		$323.85	$395.77	$664.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $150.34 / $258.88	Facility		$120.41	$150.34	$258.88
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $2,624.50 / $3,754.21	Facility		$127.57	$2,624.50	$3,754.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.41 / $156.79 / $321.73	Facility		$120.41	$156.79	$321.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $141.79 / $141.79 / $141.79	Professional		$141.79	$141.79	$141.79
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 $153.24 / $268.14 / $665.73	Professional		$153.24	$268.14	$665.73
United Facility/Professional Professional Modifier Low / Median / High Price $165.89 / $237.88 / $337.95	Professional		$165.89	$237.88	$337.95