Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.80 / $167.87 / $338.09	Facility	26	$146.80	$167.87	$338.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $153.66 / $353.29	Professional		$91.58	$153.66	$353.29
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.54 / $263.04 / $387.65	Professional		$148.54	$263.04	$387.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $308.44 / $352.60	Professional		$260.31	$308.44	$352.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $129.19 / $153.88 / $173.25	Professional	26	$129.19	$153.88	$173.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $233.00 / $404.61	Professional		$199.36	$233.00	$404.61
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $76.44 / $111.65 / $136.01	Facility	26	$76.44	$111.65	$136.01
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $78.58 / $78.58	Facility	26	$78.58	$78.58	$78.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.14 / $291.92 / $388.00	Professional		$215.14	$291.92	$388.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,312.81 / $3,312.81 / $3,312.81	Facility	26	$3,312.81	$3,312.81	$3,312.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.20 / $286.70 / $377.11	Professional		$238.20	$286.70	$377.11
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $167.02 / $367.96	Professional		$128.47	$167.02	$367.96