Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.06 / $190.41 / $384.86	Facility	26	$167.06	$190.41	$384.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.51 / $475.00 / $928.43	Professional		$293.51	$475.00	$928.43
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.23 / $718.38 / $1,110.01	Professional		$369.23	$718.38	$1,110.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $661.83 / $760.24 / $913.34	Professional		$661.83	$760.24	$913.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $146.03 / $169.23 / $196.51	Professional	26	$146.03	$169.23	$196.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $551.54 / $698.50 / $1,064.16	Professional		$551.54	$698.50	$1,064.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $113.68 / $150.53 / $155.44	Facility	26	$113.68	$150.53	$155.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $87.95 / $87.95 / $87.95	Facility	26	$87.95	$87.95	$87.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.09 / $820.56 / $1,032.67	Professional		$560.09	$820.56	$1,032.67
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 $624.24 / $812.17 / $988.24	Professional		$624.24	$812.17	$988.24
United Facility/Professional Professional Modifier Low / Median / High Price $336.82 / $570.96 / $1,116.66	Professional		$336.82	$570.96	$1,116.66