Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $172.00 / $172.00	Facility		$172.00	$172.00	$172.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.00 / $197.00 / $200.85	Facility		$195.00	$197.00	$200.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $122.00 / $200.00 / $262.00	Facility		$122.00	$200.00	$262.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $200.00 / $200.00	Facility		$172.00	$200.00	$200.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $157.60 / $161.69 / $165.74	Facility		$157.60	$161.69	$165.74