Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.54 / $44.72 / $59.20	Facility	26	$25.54	$44.72	$59.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $306.04 / $603.00	Professional		$58.04	$306.04	$603.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $12.04 / $69.94 / $264.06	Professional	26	$12.04	$69.94	$264.06
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $95.98 / $150.66	Professional		$50.52	$95.98	$150.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $11.58 / $21.00 / $34.02	Professional	26	$11.58	$21.00	$34.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $105.77 / $123.74	Professional		$89.85	$105.77	$123.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.45 / $25.89 / $30.19	Professional	26	$22.45	$25.89	$30.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.58 / $95.88 / $144.29	Professional		$72.58	$95.88	$144.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $18.68 / $24.83 / $35.58	Professional	26	$18.68	$24.83	$35.58
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $17.14 / $23.13 / $23.45	Facility	26	$17.14	$23.13	$23.45
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $14.07 / $21.00 / $24.85	Professional	26	$14.07	$21.00	$24.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.50 / $13.50 / $13.50	Facility	26	$13.50	$13.50	$13.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.92 / $112.46 / $141.62	Professional		$77.92	$112.46	$141.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $11.96 / $21.00 / $34.42	Professional	26	$11.96	$21.00	$34.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $84.99 / $111.53 / $134.54	Professional		$84.99	$111.53	$134.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $20.95 / $24.76 / $33.15	Professional	26	$20.95	$24.76	$33.15
United Facility/Professional Professional Modifier Low / Median / High Price $45.40 / $63.95 / $151.11	Professional		$45.40	$63.95	$151.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $10.70 / $16.42 / $36.17	Professional	26	$10.70	$16.42	$36.17