Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $181.97 / $213.80	Facility	26	$104.71	$181.97	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $831.76	Professional		$302.00	$478.63	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $141.25 / $426.58	Professional	26	$85.11	$141.25	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $1,071.52	Professional		$288.40	$549.54	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $125.89 / $263.03	Professional	26	$79.43	$125.89	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $758.58	Professional		$524.81	$602.56	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $154.88 / $177.83 / $213.80	Professional	26	$154.88	$177.83	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,023.29	Professional		$457.09	$630.96	$1,023.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $173.78 / $251.19	Professional	26	$134.90	$173.78	$251.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $165.96 / $169.82	Facility	26	$138.04	$165.96	$169.82
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $151.36 / $186.21	Professional	26	$102.33	$151.36	$186.21
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $95.50 / $138.04	Facility	26	$20.42	$95.50	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $645.65 / $954.99	Professional		$309.03	$645.65	$954.99
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $177.83 / $251.19	Professional	26	$83.18	$177.83	$251.19
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 $512.86 / $630.96 / $831.76	Professional		$512.86	$630.96	$831.76
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $177.83 / $229.09	Professional	26	$151.36	$177.83	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $524.81 / $912.01	Professional		$269.15	$524.81	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $112.20 / $245.47	Professional	26	$77.62	$112.20	$245.47