Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.58 / $67.55 / $137.16	Facility	26	$59.58	$67.55	$137.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.84 / $136.68 / $349.06	Professional		$87.84	$136.68	$349.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $228.65 / $373.33	Professional		$110.77	$228.65	$373.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $292.83 / $340.03	Professional		$245.99	$292.83	$340.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $51.74 / $62.08 / $69.89	Professional	26	$51.74	$62.08	$69.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.46 / $211.14 / $395.73	Professional		$173.46	$211.14	$395.73
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $40.18 / $53.33 / $55.61	Facility	26	$40.18	$53.33	$55.61
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.07 / $31.07 / $31.07	Facility	26	$31.07	$31.07	$31.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.51 / $268.80 / $377.33	Professional		$174.51	$268.80	$377.33
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 $196.80 / $266.88 / $369.53	Professional		$196.80	$266.88	$369.53
United Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $154.87 / $414.92	Professional		$105.26	$154.87	$414.92