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 / $200.00 / $2,332.21	Facility		$200.00	$200.00	$2,332.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $354.00	Facility		$135.00	$135.00	$354.00
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $300.00 / $475.00	Facility		$165.00	$300.00	$475.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $320.00 / $407.00 / $726.00	Facility		$320.00	$407.00	$726.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $245.00 / $245.00	Facility		$245.00	$245.00	$245.00