Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.88 / $19.64 / $43.91	Facility	26	$18.88	$19.64	$43.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $35.75 / $93.97	Professional		$22.68	$35.75	$93.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.08 / $10.15 / $20.99	Professional	26	$7.08	$10.15	$20.99
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.96 / $60.67 / $95.90	Professional		$32.96	$60.67	$95.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $17.03 / $25.27	Professional	26	$9.71	$17.03	$25.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $80.61 / $93.36	Professional		$67.75	$80.61	$93.36
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $16.60 / $19.88 / $22.38	Professional	26	$16.60	$19.88	$22.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $58.31 / $105.72	Professional		$47.88	$58.31	$105.72
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $13.88 / $17.75 / $26.43	Professional	26	$13.88	$17.75	$26.43
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $12.74 / $17.12 / $17.68	Facility	26	$12.74	$17.12	$17.68
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $10.85 / $15.66 / $18.32	Professional	26	$10.85	$15.66	$18.32
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.01 / $10.01 / $10.01	Facility	26	$10.01	$10.01	$10.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $72.93 / $98.80	Professional		$50.74	$72.93	$98.80
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.78 / $17.48 / $25.57	Professional	26	$11.78	$17.48	$25.57
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $209.36 / $209.36 / $209.36	Facility	26	$209.36	$209.36	$209.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $71.23 / $94.86	Professional		$57.28	$71.23	$94.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $15.56 / $18.48 / $24.64	Professional	26	$15.56	$18.48	$24.64
United Facility/Professional Professional Modifier Low / Median / High Price $31.26 / $35.86 / $107.74	Professional		$31.26	$35.86	$107.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $11.21 / $26.83	Professional	26	$8.91	$11.21	$26.83