Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.93 / $84.13 / $187.16	Facility	26	$80.93	$84.13	$187.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $115.31 / $262.49	Professional		$91.41	$115.31	$262.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.42 / $211.84 / $285.51	Professional		$117.42	$211.84	$285.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $200.88 / $253.78	Professional		$170.00	$200.88	$253.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.45 / $79.34 / $95.72	Professional	26	$67.45	$79.34	$95.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.04 / $175.46 / $292.80	Professional		$151.04	$175.46	$292.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $49.00 / $67.00 / $75.04	Facility	26	$49.00	$67.00	$75.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $170.19 / $211.64 / $277.42	Professional		$170.19	$211.64	$277.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $172.37 / $215.42 / $272.88	Professional		$172.37	$215.42	$272.88
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $112.09 / $303.57	Professional		$100.69	$112.09	$303.57