Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.77 / $422.60 / $565.86	Professional		$369.77	$422.60	$565.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.11 / $302.29 / $474.40	Facility		$167.11	$302.29	$474.40
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $125.33 / $207.97 / $275.89	Facility		$125.33	$207.97	$275.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.78 / $289.10 / $474.40	Facility		$91.78	$289.10	$474.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $200.53 / $325.86	Professional		$63.66	$200.53	$325.86
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $666.20 / $941.29 / $1,006.06	Facility		$666.20	$941.29	$1,006.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $327.75 / $453.16 / $544.80	Professional		$327.75	$453.16	$544.80
United Facility/Professional Professional Modifier Low / Median / High Price $201.54 / $268.05 / $524.65	Professional		$201.54	$268.05	$524.65