Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Professional		$5.09	$5.09	$5.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $44.18	Facility		$18.18	$18.18	$44.18
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3.34 / $3.81 / $79,999.20	Facility		$3.34	$3.81	$79,999.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $2.61 / $3.72 / $5.51	Facility		$2.61	$3.72	$5.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2.33 / $2.61 / $2.70	Professional		$2.33	$2.61	$2.70