Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $123.03 / $138.04	Facility	26	$85.11	$123.03	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $323.59	Professional		$117.49	$147.91	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $354.81	Professional		$131.83	$269.15	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $295.12	Professional		$181.97	$234.42	$295.12
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $114.82 / $141.25	Professional	26	$87.10	$114.82	$141.25
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $128.82 / $128.82 / $128.82	Facility	26	$128.82	$128.82	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $229.09 / $331.13	Professional		$169.82	$229.09	$331.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $107.15 / $112.20	Facility	26	$89.13	$107.15	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $331.13	Professional		$186.21	$245.47	$331.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $309.03	Professional		$213.80	$234.42	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $316.23	Professional		$123.03	$123.03	$316.23