Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.00 / $437.00 / $437.00	Facility		$437.00	$437.00	$437.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $649.00	Facility		$630.00	$630.00	$649.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $322.00	Facility		$200.00	$200.00	$322.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $649.00 / $649.00	Facility		$649.00	$649.00	$649.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Facility		$400.00	$400.00	$400.00