Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.11 / $51.29 / $60.26	Facility	26	$33.11	$51.29	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $346.74	Professional		$112.20	$169.82	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $389.05	Professional		$77.62	$213.80	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $363.08	Professional		$257.04	$302.00	$363.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $51.29 / $61.66	Professional	26	$44.67	$51.29	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $416.87	Professional		$173.78	$275.42	$416.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $28.18 / $38.90 / $47.86	Facility	26	$28.18	$38.90	$47.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $5.89 / $27.54 / $39.81	Facility	26	$5.89	$27.54	$39.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $281.84 / $398.11	Professional		$177.83	$281.84	$398.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	26	$851.14	$851.14	$851.14
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $263.03 / $363.08	Professional		$120.23	$263.03	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $436.52	Professional		$85.11	$194.98	$436.52