Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.33 / $208.74 / $421.79	Facility	26	$183.33	$208.74	$421.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.25 / $475.00 / $841.79	Professional		$285.25	$475.00	$841.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.39 / $138.54 / $499.00	Professional	26	$86.39	$138.54	$499.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.16 / $577.44 / $931.00	Professional		$302.16	$577.44	$931.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.30 / $152.02 / $245.84	Professional	26	$83.30	$152.02	$245.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $621.97 / $750.61	Professional		$546.79	$621.97	$750.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $160.69 / $185.00 / $216.27	Professional	26	$160.69	$185.00	$216.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $455.86 / $626.00 / $923.52	Professional		$455.86	$626.00	$923.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $133.96 / $175.56 / $257.19	Professional	26	$133.96	$175.56	$257.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $124.46 / $165.65 / $170.85	Facility	26	$124.46	$165.65	$170.85
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $101.60 / $155.19 / $188.70	Professional	26	$101.60	$155.19	$188.70
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $96.46 / $96.46 / $96.46	Facility	26	$96.46	$96.46	$96.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $463.17 / $670.02 / $856.85	Professional		$463.17	$670.02	$856.85
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $85.21 / $152.02 / $245.84	Professional	26	$85.21	$152.02	$245.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,538.06 / $1,538.06 / $1,538.06	Facility	26	$1,538.06	$1,538.06	$1,538.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $511.12 / $668.33 / $845.84	Professional		$511.12	$668.33	$845.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $151.41 / $179.71 / $239.72	Professional	26	$151.41	$179.71	$239.72
United Facility/Professional Professional Modifier Low / Median / High Price $270.56 / $458.64 / $908.58	Professional		$270.56	$458.64	$908.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.61 / $99.87 / $261.11	Professional	26	$77.61	$99.87	$261.11