Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $296.31 / $323.41	Professional		$140.25	$296.31	$323.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.12 / $196.42 / $347.77	Facility		$133.12	$196.42	$347.77
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $133.31 / $258.42 / $281.39	Facility		$133.31	$258.42	$281.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.25 / $208.61 / $350.10	Facility		$140.25	$208.61	$350.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00