Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.86 / $58.60 / $118.31	Facility	26	$51.86	$58.60	$118.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.34 / $169.64 / $340.37	Professional		$104.34	$169.64	$340.37
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.87 / $190.00 / $382.02	Professional		$85.87	$190.00	$382.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.80 / $314.24 / $365.27	Professional		$263.80	$314.24	$365.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.94 / $54.88 / $61.79	Professional	26	$45.94	$54.88	$61.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $270.77 / $424.40	Professional		$213.49	$270.77	$424.40
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $38.50 / $47.57	Facility	26	$26.46	$38.50	$47.57
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $27.06 / $27.06 / $27.06	Facility	26	$27.06	$27.06	$27.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.99 / $298.48 / $395.20	Professional		$176.99	$298.48	$395.20
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 $120.96 / $278.80 / $381.36	Professional		$120.96	$278.80	$381.36
United Facility/Professional Professional Modifier Low / Median / High Price $131.41 / $263.52 / $438.34	Professional		$131.41	$263.52	$438.34