Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $37.95 / $52.64 / $62.28	Facility	26	$37.95	$52.64	$62.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $84.22 / $223.00	Professional		$48.50	$84.22	$223.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.82 / $56.28 / $148.60	Professional	26	$28.82	$56.28	$148.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.65 / $111.10 / $145.54	Professional		$69.65	$111.10	$145.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.44 / $63.42 / $93.51	Professional	26	$42.44	$63.42	$93.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.03 / $113.16 / $128.19	Professional		$78.03	$113.16	$128.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.14 / $63.99 / $72.05	Professional	26	$45.14	$63.99	$72.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $83.77 / $157.01	Professional		$71.81	$83.77	$157.01
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.43 / $60.40 / $92.30	Professional	26	$46.43	$60.40	$92.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $41.67 / $54.98 / $58.29	Facility	26	$41.67	$54.98	$58.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $24.81 / $27.57 / $35.46	Professional		$24.81	$27.57	$35.46
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $50.15 / $64.50	Professional	26	$34.17	$50.15	$64.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.26 / $112.57 / $145.22	Professional		$84.26	$112.57	$145.22
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $44.49 / $63.42 / $85.55	Professional	26	$44.49	$63.42	$85.55
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $541.59 / $541.59 / $541.59	Facility	26	$541.59	$541.59	$541.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $89.79 / $121.43 / $155.25	Professional		$89.79	$121.43	$155.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.90 / $71.38 / $91.26	Professional	26	$52.90	$71.38	$91.26
United Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $102.21 / $155.34	Professional		$72.61	$102.21	$155.34
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.53 / $68.56 / $90.64	Professional	26	$44.53	$68.56	$90.64