Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $170.15 / $202.36	Professional		$152.47	$170.15	$202.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.90 / $96.19 / $206.81	Facility		$78.90	$96.19	$206.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $157.86 / $161.47	Facility		$94.72	$157.86	$161.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.19 / $101.00 / $210.80	Facility		$96.19	$101.00	$210.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $109.17 / $182.44	Professional		$109.17	$109.17	$182.44
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $89.36 / $117.93	Facility		$68.09	$89.36	$117.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $170.10 / $228.35	Professional		$98.01	$170.10	$228.35
United Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $168.69 / $254.02	Professional		$115.68	$168.69	$254.02