Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $112.20 / $131.83	Facility	26	$70.79	$112.20	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $288.40	Professional		$95.50	$165.96	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $457.09	Professional		$158.49	$263.03	$457.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $245.47 / $302.00	Professional		$218.78	$245.47	$302.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $109.65 / $134.90	Professional	26	$97.72	$109.65	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $426.58	Professional		$186.21	$245.47	$426.58
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.10 / $102.33 / $107.15	Facility	26	$87.10	$102.33	$107.15
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $13.18 / $61.66 / $87.10	Facility	26	$13.18	$61.66	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $380.19	Professional		$199.53	$269.15	$380.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility	26	$8,317.64	$8,317.64	$8,317.64
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $323.59	Professional		$204.17	$263.03	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $389.05	Professional		$128.82	$223.87	$389.05