Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.47 / $1,255.09 / $1,517.08	Professional		$971.47	$1,255.09	$1,517.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $597.03 / $926.65 / $1,417.82	Facility		$597.03	$926.65	$1,417.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $753.13 / $1,035.82 / $1,206.00	Facility		$753.13	$1,035.82	$1,206.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $593.89 / $988.42 / $1,536.00	Facility		$593.89	$988.42	$1,536.00