Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $154.13 / $168.20	Professional		$72.94	$154.13	$168.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $100.61 / $172.64	Facility		$69.25	$100.61	$172.64
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $83.21 / $132.96 / $144.05	Facility		$83.21	$132.96	$144.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $108.36 / $181.06	Facility		$72.94	$108.36	$181.06
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