Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.97 / $1,087.63 / $1,313.29	Professional		$840.97	$1,087.63	$1,313.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $517.37 / $801.92 / $1,188.91	Facility		$517.37	$801.92	$1,188.91
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $871.00 / $1,037.83	Facility		$632.59	$871.00	$1,037.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.82 / $815.05 / $1,316.33	Facility		$511.82	$815.05	$1,316.33