Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.79 / $40.85 / $91.13	Facility	26	$30.79	$40.85	$91.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $101.46 / $411.00	Professional		$71.84	$101.46	$411.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $165.98 / $268.83	Professional		$81.36	$165.98	$268.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $178.69 / $212.76 / $247.11	Professional		$178.69	$212.76	$247.11
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.50 / $41.25 / $46.45	Professional	26	$34.50	$41.25	$46.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.83 / $152.32 / $287.52	Professional		$118.83	$152.32	$287.52
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $26.46 / $35.51 / $36.18	Facility	26	$26.46	$35.51	$36.18
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $20.81 / $20.81 / $20.81	Facility	26	$20.81	$20.81	$20.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $196.70 / $273.04	Professional		$128.71	$196.70	$273.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $782.93	Facility	26	$782.93	$782.93	$782.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $192.49 / $268.16	Professional		$145.18	$192.49	$268.16
United Facility/Professional Professional Modifier Low / Median / High Price $75.81 / $112.25 / $262.54	Professional		$75.81	$112.25	$262.54