Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $401.00 / $760.00	Facility		$401.00	$401.00	$760.00
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 $650.00 / $770.00 / $770.00	Facility		$650.00	$770.00	$770.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $825.00 / $1,146.83	Facility		$525.00	$825.00	$1,146.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.00 / $881.50 / $881.50	Facility		$401.00	$881.50	$881.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $697.62 / $715.76 / $733.65	Facility		$697.62	$715.76	$733.65
United Facility/Professional Facility Modifier Low / Median / High Price $827.66 / $1,058.00 / $1,469.28	Facility		$827.66	$1,058.00	$1,469.28