Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $3,090.30	Facility		$1,348.96	$1,949.84	$3,090.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,467.37	Facility		$1,348.96	$2,041.74	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53