Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $177.83	Professional		$169.82	$169.82	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1.32 / $1.32 / $1.32	Facility		$1.32	$1.32	$1.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43