Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.45 / $128.66 / $258.83	Facility	26	$112.45	$128.66	$258.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.49 / $186.16 / $301.94	Professional		$88.49	$186.16	$301.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $253.09 / $393.18	Professional		$166.67	$253.09	$393.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.33 / $264.64 / $302.58	Professional		$223.33	$264.64	$302.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.59 / $118.53 / $133.44	Professional	26	$99.59	$118.53	$133.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.07 / $231.26 / $362.87	Professional		$188.07	$231.26	$362.87
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $78.89 / $102.66 / $107.20	Facility	26	$78.89	$102.66	$107.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.80 / $60.80 / $60.80	Facility	26	$60.80	$60.80	$60.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.93 / $271.89 / $345.66	Professional		$202.93	$271.89	$345.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,401.03 / $8,401.03 / $8,401.03	Facility	26	$8,401.03	$8,401.03	$8,401.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $270.74 / $326.57	Professional		$204.69	$270.74	$326.57
United Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $163.92 / $366.93	Professional		$128.12	$163.92	$366.93