Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.86 / $0.86 / $0.86	Professional		$0.86	$0.86	$0.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.25 / $52.25 / $52.25	Facility		$52.25	$52.25	$52.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $0.93 / $79,999.20	Facility		$0.66	$0.93	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.80 / $1.18	Facility		$0.50	$0.80	$1.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $0.50 / $0.50 / $0.73	Professional		$0.50	$0.50	$0.73