Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $4,570.88	Professional		$1,659.59	$3,548.13	$4,570.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,818.38	Facility		$1,096.48	$1,698.24	$2,818.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,621.81	Professional		$741.31	$1,000.00	$1,621.81
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,737.80 / $2,187.76	Facility		$1,659.59	$1,737.80	$2,187.76
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,187.76	Professional		$1,698.24	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,995.26 / $2,754.23	Facility		$1,318.26	$1,995.26	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,089.30 / $2,344.23	Professional		$1,819.70	$2,089.30	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $3,630.78	Facility		$1,096.48	$1,174.90	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,584.89	Professional		$741.31	$831.76	$1,584.89