Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.98 / $129.57 / $260.91	Facility	26	$112.98	$129.57	$260.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $174.99 / $321.10	Professional		$82.62	$174.99	$321.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $264.08 / $418.13	Professional		$174.52	$264.08	$418.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.34 / $280.02 / $320.89	Professional		$236.34	$280.02	$320.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.63 / $118.62 / $133.55	Professional	26	$99.63	$118.62	$133.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.50 / $254.56 / $383.01	Professional		$197.50	$254.56	$383.01
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $77.91 / $102.69 / $107.17	Facility	26	$77.91	$102.69	$107.17
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.76 / $60.76 / $60.76	Facility	26	$60.76	$60.76	$60.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.58 / $287.27 / $361.10	Professional		$213.58	$287.27	$361.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $14,373.77 / $14,373.77 / $14,373.77	Facility	26	$14,373.77	$14,373.77	$14,373.77
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $216.06 / $281.20 / $342.05	Professional		$216.06	$281.20	$342.05
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $208.53 / $379.33	Professional		$132.44	$208.53	$379.33