Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.21 / $234.19 / $460.94	Facility	26	$200.21	$234.19	$460.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.28 / $233.74 / $423.50	Professional		$133.28	$233.74	$423.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.42 / $90.79 / $229.07	Professional	26	$52.42	$90.79	$229.07
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $332.21 / $500.54	Professional		$224.19	$332.21	$500.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.22 / $149.60 / $249.42	Professional	26	$65.22	$149.60	$249.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $396.40 / $452.50	Professional		$334.07	$396.40	$452.50
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $177.76 / $211.64 / $238.28	Professional	26	$177.76	$211.64	$238.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $309.27 / $543.20	Professional		$236.88	$309.27	$543.20
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.28 / $178.48 / $284.64	Professional	26	$104.28	$178.48	$284.64
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $90.06 / $156.75 / $186.26	Facility	26	$90.06	$156.75	$186.26
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $65.12 / $101.20 / $189.89	Professional	26	$65.12	$101.20	$189.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $106.98 / $106.98 / $106.98	Facility	26	$106.98	$106.98	$106.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $257.42 / $372.72 / $493.73	Professional		$257.42	$372.72	$493.73
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $82.80 / $154.76 / $259.06	Professional	26	$82.80	$154.76	$259.06
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 $295.04 / $361.24 / $486.07	Professional		$295.04	$361.24	$486.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $101.76 / $185.92 / $265.30	Professional	26	$101.76	$185.92	$265.30
United Facility/Professional Professional Modifier Low / Median / High Price $152.00 / $238.94 / $536.65	Professional		$152.00	$238.94	$536.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.85 / $103.82 / $286.89	Professional	26	$57.85	$103.82	$286.89