Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.20 / $61.97 / $124.89	Facility	26	$54.20	$61.97	$124.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $155.21 / $506.57	Professional		$70.31	$155.21	$506.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $231.77 / $370.23	Professional		$153.50	$231.77	$370.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $207.88 / $247.40 / $286.55	Professional		$207.88	$247.40	$286.55
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $56.84 / $64.00	Professional	26	$47.67	$56.84	$64.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.76 / $209.76 / $335.25	Professional		$173.76	$209.76	$335.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.72 / $49.13 / $51.59	Facility	26	$37.72	$49.13	$51.59
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $29.00 / $29.00 / $29.00	Facility	26	$29.00	$29.00	$29.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.50 / $245.78 / $316.45	Professional		$185.50	$245.78	$316.45
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 $186.13 / $237.17 / $294.67	Professional		$186.13	$237.17	$294.67
United Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $140.68 / $335.40	Professional		$117.29	$140.68	$335.40