Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $41.67 / $110.74	Professional		$24.88	$41.67	$110.74
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.01 / $8.77 / $20.59	Professional	26	$5.01	$8.77	$20.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $73.39 / $113.06	Professional		$35.64	$73.39	$113.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.27 / $15.00 / $22.17	Professional	26	$9.27	$15.00	$22.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $95.70 / $111.09	Professional		$80.28	$95.70	$111.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $18.36 / $20.67	Professional	26	$15.31	$18.36	$20.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $69.06 / $119.97	Professional		$57.00	$69.06	$119.97
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.80 / $15.52 / $23.37	Professional	26	$12.80	$15.52	$23.37
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $9.90 / $13.80 / $16.88	Professional	26	$9.90	$13.80	$16.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $83.90 / $113.02	Professional		$60.77	$83.90	$113.02
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.42 / $15.60 / $22.74	Professional	26	$10.42	$15.60	$22.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $83.25 / $107.36	Professional		$69.20	$83.25	$107.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.77 / $16.44 / $21.15	Professional	26	$13.77	$16.44	$21.15
United Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $45.89 / $122.26	Professional		$36.88	$45.89	$122.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.93 / $10.08 / $22.74	Professional	26	$7.93	$10.08	$22.74