Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.02 / $54.95 / $110.63	Facility	26	$49.02	$54.95	$110.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.30 / $336.30 / $1,275.75	Professional		$152.30	$336.30	$1,275.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.94 / $521.30 / $670.66	Professional		$234.94	$521.30	$670.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $360.61 / $524.41 / $618.24	Professional		$360.61	$524.41	$618.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.61 / $50.09 / $57.02	Professional	26	$35.61	$50.09	$57.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.00 / $377.00 / $706.61	Professional		$247.00	$377.00	$706.61
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.46 / $43.37 / $45.56	Facility	26	$32.46	$43.37	$45.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $310.70 / $555.20 / $714.82	Professional		$310.70	$555.20	$714.82
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $415.36 / $559.58 / $783.11	Professional		$415.36	$559.58	$783.11
United Facility/Professional Professional Modifier Low / Median / High Price $176.43 / $221.95 / $738.35	Professional		$176.43	$221.95	$738.35