Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $86.16 / $129.86	Professional		$70.56	$86.16	$129.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $67.92 / $123.84	Facility		$30.79	$67.92	$123.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $28.90 / $151.96	Facility		$19.53	$28.90	$151.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $67.92 / $146.03	Facility		$29.37	$67.92	$146.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $36.95 / $62.26	Professional		$31.41	$36.95	$62.26
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $496.95 / $618.64	Facility		$389.95	$496.95	$618.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $100.57 / $139.91	Professional		$61.44	$100.57	$139.91
United Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $111.47 / $167.27	Professional		$76.06	$111.47	$167.27