Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $338.84	Facility		$199.53	$199.53	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $16,982.44 / $25,703.96	Facility		$10,964.78	$16,982.44	$25,703.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $25,703.96 / $70,794.58	Facility		$16,982.44	$25,703.96	$70,794.58