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 $1,785.99 / $2,606.76 / $3,655.19	Facility		$1,785.99	$2,606.76	$3,655.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,696.00 / $2,696.00 / $2,696.00	Professional		$2,696.00	$2,696.00	$2,696.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,785.99 / $2,606.76 / $3,655.19	Facility		$1,785.99	$2,606.76	$3,655.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,696.00 / $2,696.00 / $2,696.00	Professional		$2,696.00	$2,696.00	$2,696.00