Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $229.09	Professional		$177.83	$208.93	$229.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $120.23	Facility		$81.28	$107.15	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $208.93	Facility		$66.07	$89.13	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $275.42	Professional		$79.43	$123.03	$275.42