Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.25 / $194.25 / $194.25	Professional		$194.25	$194.25	$194.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $997.76 / $1,609.14 / $2,295.48	Facility		$997.76	$1,609.14	$2,295.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,707.35 / $1,707.35 / $1,707.35	Professional		$1,707.35	$1,707.35	$1,707.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $997.76 / $1,609.14 / $2,295.48	Facility		$997.76	$1,609.14	$2,295.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,707.35 / $1,707.35 / $1,707.35	Professional		$1,707.35	$1,707.35	$1,707.35