Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.68 / $123.58 / $273.14	Facility	26	$118.68	$123.58	$273.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $171.00 / $371.00	Professional		$121.79	$171.00	$371.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.08 / $268.00 / $335.66	Professional		$177.08	$268.00	$335.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.66 / $258.05 / $295.74	Professional		$179.66	$258.05	$295.74
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $88.54 / $124.77 / $140.47	Professional	26	$88.54	$124.77	$140.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.19 / $212.48 / $352.24	Professional		$177.19	$212.48	$352.24
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $80.43 / $107.85 / $111.22	Facility	26	$80.43	$107.85	$111.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $209.23 / $272.92 / $335.66	Professional		$209.23	$272.92	$335.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.29 / $274.05 / $356.71	Professional		$202.29	$274.05	$356.71
United Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $155.72 / $375.18	Professional		$122.53	$155.72	$375.18