Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.47 / $166.72 / $184.62	Facility	26	$152.47	$166.72	$184.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.47 / $311.80 / $568.19	Professional		$217.47	$311.80	$568.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $511.90 / $671.65	Professional		$277.20	$511.90	$671.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.70 / $483.92 / $557.54	Professional		$338.70	$483.92	$557.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $119.62 / $169.21 / $190.51	Professional	26	$119.62	$169.21	$190.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $297.60 / $374.48 / $658.85	Professional		$297.60	$374.48	$658.85
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $106.59 / $145.38 / $150.08	Facility	26	$106.59	$145.38	$150.08
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $178.82 / $303.52	Professional		$160.93	$178.82	$303.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $349.80 / $537.41 / $671.65	Professional		$349.80	$537.41	$671.65
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $773.56 / $773.56 / $773.56	Facility	26	$773.56	$773.56	$773.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $421.91 / $560.40 / $716.47	Professional		$421.91	$560.40	$716.47
United Facility/Professional Professional Modifier Low / Median / High Price $320.12 / $398.64 / $723.06	Professional		$320.12	$398.64	$723.06