Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.45 / $50.18 / $113.36	Facility	26	$47.45	$50.18	$113.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $64.84 / $126.85	Professional		$29.93	$64.84	$126.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $27.33 / $85.71	Professional	26	$17.57	$27.33	$85.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $113.15 / $163.47	Professional		$71.81	$113.15	$163.47
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $49.01 / $70.75	Professional	26	$30.47	$49.01	$70.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.64 / $104.47 / $125.97	Professional		$89.64	$104.47	$125.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $42.99 / $50.21 / $58.70	Professional	26	$42.99	$50.21	$58.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $106.00 / $142.38	Professional		$74.73	$106.00	$142.38
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $35.76 / $46.13 / $71.08	Professional	26	$35.76	$46.13	$71.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $36.29 / $44.22 / $58.96	Facility	26	$36.29	$44.22	$58.96
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $35.68 / $44.22 / $60.72	Professional	26	$35.68	$44.22	$60.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $111.20 / $148.40	Professional		$82.96	$111.20	$148.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $30.47 / $50.71 / $69.81	Professional	26	$30.47	$50.71	$69.81
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 $84.42 / $114.87 / $141.44	Professional		$84.42	$114.87	$141.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.14 / $54.04 / $62.54	Professional	26	$40.14	$54.04	$62.54
United Facility/Professional Professional Modifier Low / Median / High Price $49.08 / $79.77 / $147.87	Professional		$49.08	$79.77	$147.87
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.46 / $31.62 / $70.23	Professional	26	$23.46	$31.62	$70.23