Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $4,365.16	Professional		$1,584.89	$3,467.37	$4,365.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $2,570.40	Facility		$1,071.52	$1,621.81	$2,570.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,548.82	Professional		$707.95	$1,000.00	$1,548.82
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $2,137.96	Facility		$1,548.82	$1,698.24	$2,137.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,137.96	Professional		$1,584.89	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,691.53	Facility		$1,288.25	$1,905.46	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,290.87	Professional		$1,778.28	$2,041.74	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $3,467.37	Facility		$1,047.13	$1,122.02	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,513.56	Professional		$724.44	$794.33	$1,513.56