Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $163.13 / $195.71	Professional		$139.86	$163.13	$195.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.85 / $82.57 / $177.53	Facility		$62.85	$82.57	$177.53
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $67.37 / $151.96	Facility		$45.19	$67.37	$151.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $82.57 / $177.53	Facility		$67.95	$82.57	$177.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.42 / $88.73 / $132.50	Professional		$75.42	$88.73	$132.50
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 $141.99 / $5,099.67 / $10,565.83	Professional		$141.99	$5,099.67	$10,565.83
United Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $144.91 / $211.98	Professional		$99.37	$144.91	$211.98