Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.00 / $254.00 / $254.00	Facility		$254.00	$254.00	$254.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $480.00 / $726.00	Facility		$480.00	$480.00	$726.00
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $322.00 / $2,332.21	Facility		$200.00	$322.00	$2,332.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $394.50 / $521.52 / $674.00	Facility		$394.50	$521.52	$674.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $350.00 / $525.00	Facility		$165.00	$350.00	$525.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.00 / $584.00 / $855.00	Facility		$399.00	$584.00	$855.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $541.92 / $861.57	Facility		$245.00	$541.92	$861.57