Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $97.72 / $112.20	Facility	26	$57.54	$97.72	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $263.03	Professional		$81.28	$109.65	$263.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.74 / $57.54 / $181.97	Professional	26	$40.74	$57.54	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $275.42	Professional		$112.20	$186.21	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $100.00 / $141.25	Professional	26	$57.54	$100.00	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $251.19	Professional		$165.96	$208.93	$251.19
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $97.72 / $114.82	Professional	26	$77.62	$97.72	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $239.88	Professional		$131.83	$165.96	$239.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $141.25	Professional	26	$66.07	$87.10	$141.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $85.11 / $91.20	Facility	26	$75.86	$85.11	$91.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $79.43 / $102.33	Professional	26	$53.70	$79.43	$102.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $91.20 / $134.90	Professional	26	$63.10	$91.20	$134.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $177.83 / $234.42	Professional		$154.88	$177.83	$234.42
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $97.72 / $123.03	Professional	26	$85.11	$97.72	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $229.09	Professional		$112.20	$162.18	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $91.20 / $128.82	Professional	26	$60.26	$91.20	$128.82