Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $124.79 / $141.97 / $286.75	Facility	26	$124.79	$141.97	$286.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.63 / $350.59 / $940.67	Professional		$201.63	$350.59	$940.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.30 / $71.23 / $302.00	Professional	26	$51.30	$71.23	$302.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.49 / $491.62 / $763.44	Professional		$276.49	$491.62	$763.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.95 / $103.04 / $167.17	Professional	26	$55.95	$103.04	$167.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.11 / $569.96 / $681.78	Professional		$494.11	$569.96	$681.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $108.95 / $126.52 / $146.51	Professional	26	$108.95	$126.52	$146.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.76 / $508.30 / $791.94	Professional		$399.76	$508.30	$791.94
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.73 / $114.96 / $174.87	Professional	26	$90.73	$114.96	$174.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $85.26 / $112.30 / $116.58	Facility	26	$85.26	$112.30	$116.58
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $79.34 / $105.73 / $122.67	Professional	26	$79.34	$105.73	$122.67
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $65.64 / $65.64 / $65.64	Facility	26	$65.64	$65.64	$65.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $403.51 / $584.25 / $749.55	Professional		$403.51	$584.25	$749.55
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $57.93 / $104.11 / $167.17	Professional	26	$57.93	$104.11	$167.17
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $851.78 / $851.78 / $851.78	Facility	26	$851.78	$851.78	$851.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $466.23 / $594.14 / $738.10	Professional		$466.23	$594.14	$738.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $102.94 / $123.11 / $162.97	Professional	26	$102.94	$123.11	$162.97
United Facility/Professional Professional Modifier Low / Median / High Price $237.63 / $374.82 / $807.02	Professional		$237.63	$374.82	$807.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.84 / $73.44 / $178.20	Professional	26	$52.84	$73.44	$178.20