Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.82 / $295.74 / $467.55	Facility		$170.82	$295.74	$467.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.06 / $73.06 / $73.06	Professional		$73.06	$73.06	$73.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $170.00 / $178.00	Professional		$170.00	$170.00	$178.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $164.25 / $164.25	Facility		$164.25	$164.25	$164.25
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $236.00 / $378.00	Facility		$148.83	$236.00	$378.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,644,088.52 / $1,644,088.52 / $1,644,088.52	Facility		$1,644,088.52	$1,644,088.52	$1,644,088.52
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $389.95 / $520.64 / $618.64	Facility		$389.95	$520.64	$618.64