Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.97 / $390.74 / $473.30	Professional		$309.97	$390.74	$473.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.30 / $335.42 / $483.65	Facility		$182.30	$335.42	$483.65
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $277.83 / $362.51 / $389.64	Facility		$277.83	$362.51	$389.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.34 / $402.85 / $483.65	Facility		$200.34	$402.85	$483.65