Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.20 / $37.46 / $75.69	Facility	26	$31.20	$37.46	$75.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $105.76 / $281.83	Professional		$61.97	$105.76	$281.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.83 / $16.82 / $38.45	Professional	26	$9.83	$16.82	$38.45
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.37 / $171.16 / $287.70	Professional		$85.37	$171.16	$287.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.09 / $29.23 / $43.73	Professional	26	$17.09	$29.23	$43.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $242.16 / $281.82	Professional		$203.07	$242.16	$281.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.70 / $34.27 / $38.58	Professional	26	$28.70	$34.27	$38.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $165.12 / $311.07	Professional		$124.00	$165.12	$311.07
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.02 / $29.09 / $44.73	Professional	26	$24.02	$29.09	$44.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $22.54 / $28.82 / $30.82	Facility	26	$22.54	$28.82	$30.82
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $17.69 / $25.30 / $32.32	Professional	26	$17.69	$25.30	$32.32
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $17.36 / $17.36 / $17.36	Facility	26	$17.36	$17.36	$17.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $204.18 / $293.55	Professional		$130.38	$204.18	$293.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.93 / $30.68 / $44.25	Professional	26	$19.93	$30.68	$44.25
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 $151.29 / $211.99 / $281.83	Professional		$151.29	$211.99	$281.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.33 / $31.28 / $41.69	Professional	26	$26.33	$31.28	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $116.82 / $268.51	Professional		$81.20	$116.82	$268.51
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.98 / $18.72 / $43.02	Professional	26	$14.98	$18.72	$43.02