Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $214.83 / $223.74 / $499.36	Facility	26	$214.83	$223.74	$499.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.44 / $274.67 / $701.66	Professional		$165.44	$274.67	$701.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $508.27 / $714.86	Professional		$257.58	$508.27	$714.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.75 / $554.04 / $702.50	Professional		$426.75	$554.04	$702.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $181.22 / $213.20 / $259.13	Professional	26	$181.22	$213.20	$259.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $415.77 / $750.51	Professional		$300.00	$415.77	$750.51
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $142.44 / $191.96 / $197.65	Facility	26	$142.44	$191.96	$197.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $139.65 / $143.21 / $171.00	Professional		$139.65	$143.21	$171.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.34 / $534.79 / $712.66	Professional		$362.34	$534.79	$712.66
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 $450.58 / $546.29 / $729.58	Professional		$450.58	$546.29	$729.58
United Facility/Professional Professional Modifier Low / Median / High Price $209.13 / $252.63 / $797.72	Professional		$209.13	$252.63	$797.72