Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.70 / $130.13 / $262.30	Facility	26	$114.70	$130.13	$262.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $185.44 / $595.94	Professional		$81.67	$185.44	$595.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.40 / $276.39 / $435.87	Professional		$184.40	$276.39	$435.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.68 / $294.62 / $338.27	Professional		$248.68	$294.62	$338.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $101.36 / $120.88 / $136.10	Professional	26	$101.36	$120.88	$136.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $244.80 / $402.10	Professional		$208.40	$244.80	$402.10
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $77.91 / $104.47 / $108.07	Facility	26	$77.91	$104.47	$108.07
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $60.73	Facility	26	$60.73	$60.73	$60.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $297.39 / $378.77	Professional		$221.84	$297.39	$378.77
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 $226.23 / $286.20 / $358.16	Professional		$226.23	$286.20	$358.16
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $170.62 / $402.08	Professional		$140.38	$170.62	$402.08