Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $6,266.44	Facility		$200.00	$322.00	$6,266.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,726.00 / $2,726.00 / $2,726.00	Facility		$2,726.00	$2,726.00	$2,726.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $539.00 / $539.00 / $539.00	Facility		$539.00	$539.00	$539.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $15,555.00 / $24,298.98 / $35,173.12	Facility		$15,555.00	$24,298.98	$35,173.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,084.00 / $1,084.00 / $1,084.00	Facility		$1,084.00	$1,084.00	$1,084.00