Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $83.18 / $100.00	Facility	26	$52.48	$83.18	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $128.82 / $223.87	Professional		$57.54	$128.82	$223.87
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $323.59	Professional		$97.72	$169.82	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $177.83	Professional		$117.49	$144.54	$177.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $83.18 / $97.72	Professional	26	$63.10	$83.18	$97.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $275.42	Professional		$114.82	$162.18	$275.42
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $77.62 / $169.82	Facility	26	$63.10	$77.62	$169.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $331.13	Professional		$123.03	$173.78	$331.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $275.42	Professional		$123.03	$165.96	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $263.03	Professional		$85.11	$165.96	$263.03