Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $60.26 / $69.18	Facility	26	$38.02	$60.26	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $295.12	Professional		$87.10	$125.89	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $229.09 / $363.08	Professional		$109.65	$229.09	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $346.74	Professional		$257.04	$288.40	$346.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $60.26 / $70.79	Professional	26	$53.70	$60.26	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $251.19 / $371.54	Professional		$162.18	$251.19	$371.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $44.67 / $53.70 / $56.23	Facility	26	$44.67	$53.70	$56.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $371.54	Professional		$177.83	$251.19	$371.54
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 $186.21 / $263.03 / $346.74	Professional		$186.21	$263.03	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $138.04 / $338.84	Professional		$102.33	$138.04	$338.84