Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $174.00 / $174.00	Facility		$174.00	$174.00	$174.00
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 / $195.00 / $200.85	Facility		$195.00	$195.00	$200.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $200.00 / $440.00	Facility		$115.00	$200.00	$440.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $212.20 / $212.20	Facility		$174.00	$212.20	$212.20
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $168.10 / $172.47 / $733.65	Facility		$168.10	$172.47	$733.65
United Facility/Professional Facility Modifier Low / Median / High Price $189.21 / $464.00 / $649.42	Facility		$189.21	$464.00	$649.42