Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.26 / $95.50 / $109.65	Facility	26	$60.26	$95.50	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $281.84	Professional		$75.86	$120.23	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $346.74	Professional		$141.25	$229.09	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $302.00	Professional		$213.80	$245.47	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $91.20 / $109.65	Professional	26	$81.28	$91.20	$109.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $354.81	Professional		$162.18	$234.42	$354.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $85.11 / $87.10	Facility	26	$70.79	$85.11	$87.10
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $331.13	Professional		$177.83	$245.47	$331.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility	26	$2,290.87	$2,290.87	$2,290.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $302.00	Professional		$190.55	$234.42	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $323.59	Professional		$109.65	$177.83	$323.59