Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $366.47 / $642.33	Facility		$91.05	$366.47	$642.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $102.35 / $102.35	Professional		$102.35	$102.35	$102.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $366.47 / $658.75	Facility		$91.05	$366.47	$658.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $102.35 / $102.35	Professional		$102.35	$102.35	$102.35