Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $83.46 / $87.65 / $197.95	Facility	26	$83.46	$87.65	$197.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $146.56 / $184.21	Professional		$64.94	$146.56	$184.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.74 / $192.83 / $324.18	Professional		$122.74	$192.83	$324.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $151.84 / $182.05	Professional		$130.30	$151.84	$182.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.88 / $86.37 / $100.89	Professional	26	$73.88	$86.37	$100.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $176.40 / $273.36	Professional		$109.68	$176.40	$273.36
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $63.24 / $77.05 / $168.84	Facility	26	$63.24	$77.05	$168.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $174.59 / $309.60	Professional		$126.07	$174.59	$309.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.01 / $354.01 / $354.01	Facility	26	$354.01	$354.01	$354.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $129.78 / $169.02 / $251.30	Professional		$129.78	$169.02	$251.30
United Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $172.48 / $264.60	Professional		$92.39	$172.48	$264.60