Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $40.74 / $45.71	Facility	26	$29.51	$40.74	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $263.03	Professional		$69.18	$95.50	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $269.15	Professional		$77.62	$165.96	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $245.47	Professional		$173.78	$199.53	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $38.02 / $46.77	Professional	26	$33.88	$38.02	$46.77
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $30.90 / $36.31 / $45.71	Facility	26	$30.90	$36.31	$45.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $162.18 / $269.15	Professional		$97.72	$162.18	$269.15
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.51 / $35.48 / $36.31	Facility	26	$29.51	$35.48	$36.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $4.47 / $20.42 / $29.51	Facility	26	$4.47	$20.42	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $269.15	Professional		$131.83	$186.21	$269.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $251.19	Professional		$141.25	$190.55	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $251.19	Professional		$75.86	$100.00	$251.19