Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.92 / $248.86 / $550.79	Facility	26	$127.92	$248.86	$550.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.20 / $475.00 / $1,390.00	Professional		$294.20	$475.00	$1,390.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.33 / $575.60 / $899.02	Professional		$306.33	$575.60	$899.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.69 / $641.84 / $758.00	Professional		$555.69	$641.84	$758.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $210.13 / $241.99 / $282.58	Professional	26	$210.13	$241.99	$282.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.39 / $559.79 / $893.34	Professional		$449.39	$559.79	$893.34
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $170.56 / $216.59 / $222.36	Facility	26	$170.56	$216.59	$222.36
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.65 / $679.14 / $851.62	Professional		$466.65	$679.14	$851.62
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 $520.10 / $662.97 / $823.38	Professional		$520.10	$662.97	$823.38
United Facility/Professional Professional Modifier Low / Median / High Price $275.77 / $422.72 / $922.63	Professional		$275.77	$422.72	$922.63