Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.40 / $80.01 / $180.68	Facility	26	$75.40	$80.01	$180.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $98.03 / $526.72	Professional		$55.80	$98.03	$526.72
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.89 / $47.78 / $91.78	Professional	26	$32.89	$47.78	$91.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $143.22 / $220.07	Professional		$93.10	$143.22	$220.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $81.09 / $118.58	Professional	26	$52.45	$81.09	$118.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $108.45 / $126.39 / $151.00	Professional		$108.45	$126.39	$151.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $67.42 / $78.84 / $92.06	Professional	26	$67.42	$78.84	$92.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.21 / $128.47 / $179.32	Professional		$90.21	$128.47	$179.32
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $56.03 / $67.90 / $111.39	Professional	26	$56.03	$67.90	$111.39
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $57.74 / $69.73 / $101.17	Facility	26	$57.74	$69.73	$101.17
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $60.47 / $83.48 / $104.19	Professional	26	$60.47	$83.48	$104.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.71 / $139.53 / $190.74	Professional		$102.71	$139.53	$190.74
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $52.45 / $82.23 / $118.58	Professional	26	$52.45	$82.23	$118.58
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $385.75 / $385.75 / $385.75	Facility	26	$385.75	$385.75	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $140.31 / $184.96	Professional		$103.11	$140.31	$184.96
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $63.60 / $86.15 / $99.49	Professional	26	$63.60	$86.15	$99.49
United Facility/Professional Professional Modifier Low / Median / High Price $63.16 / $104.21 / $188.71	Professional		$63.16	$104.21	$188.71
United Facility/Professional Professional Modifier 26 Low / Median / High Price $36.81 / $54.26 / $111.71	Professional	26	$36.81	$54.26	$111.71