Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $239.88 / $281.84	Facility	26	$104.71	$239.88	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $478.63 / $891.25	Professional		$302.00	$478.63	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $549.54 / $1,000.00	Professional		$295.12	$549.54	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $758.58	Professional		$537.03	$616.60	$758.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $204.17 / $234.42 / $281.84	Professional	26	$204.17	$234.42	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $891.25	Professional		$426.58	$588.84	$891.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $177.83 / $218.78 / $223.87	Facility	26	$177.83	$218.78	$223.87
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $125.89 / $177.83	Facility	26	$26.92	$125.89	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $630.96 / $891.25	Professional		$309.03	$630.96	$891.25
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 $524.81 / $645.65 / $812.83	Professional		$524.81	$645.65	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $501.19 / $912.01	Professional		$275.42	$501.19	$912.01