Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $114.82 / $173.78	Facility		$17.78	$114.82	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $147.91	Facility		$120.23	$144.54	$147.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $29.51	Facility		$17.78	$17.78	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85