Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.16 / $126.79 / $255.02	Facility	26	$111.16	$126.79	$255.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $233.12 / $404.35	Professional		$108.54	$233.12	$404.35
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $313.24 / $481.24	Professional		$206.11	$313.24	$481.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.60 / $337.49 / $388.63	Professional		$284.60	$337.49	$388.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.32 / $115.74 / $130.31	Professional	26	$97.32	$115.74	$130.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $278.08 / $459.40	Professional		$238.00	$278.08	$459.40
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $77.42 / $100.31 / $105.19	Facility	26	$77.42	$100.31	$105.19
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.33 / $59.33 / $59.33	Facility	26	$59.33	$59.33	$59.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.80 / $332.80 / $422.85	Professional		$247.80	$332.80	$422.85
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 $256.16 / $319.80 / $405.53	Professional		$256.16	$319.80	$405.53
United Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $207.01 / $455.36	Professional		$153.38	$207.01	$455.36