Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $173.78 / $288.40	Facility	26	$123.03	$173.78	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $489.78 / $851.14	Professional		$295.12	$489.78	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $1,096.48	Professional		$281.84	$562.34	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $741.31	Professional		$512.86	$588.84	$741.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $162.18 / $194.98	Professional	26	$141.25	$162.18	$194.98
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	26	$288.40	$288.40	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,000.00	Professional		$457.09	$630.96	$1,000.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $151.36 / $154.88	Facility	26	$125.89	$151.36	$154.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $18.62 / $87.10 / $125.89	Facility	26	$18.62	$87.10	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $676.08 / $977.24	Professional		$302.00	$676.08	$977.24
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	26	$1,548.82	$1,548.82	$1,548.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $851.14	Professional		$501.19	$645.65	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $912.01	Professional		$269.15	$524.81	$912.01