Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.65 / $132.31 / $281.89	Facility	26	$93.65	$132.31	$281.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $176.68 / $726.00	Professional		$119.87	$176.68	$726.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $300.43 / $494.41	Professional		$148.84	$300.43	$494.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.48 / $400.29 / $485.84	Professional		$343.48	$400.29	$485.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $115.92 / $136.15 / $158.29	Professional	26	$115.92	$136.15	$158.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $298.04 / $509.82	Professional		$199.92	$298.04	$509.82
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $82.85 / $111.88 / $123.28	Facility	26	$82.85	$111.88	$123.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $319.16 / $448.12	Professional		$236.17	$319.16	$448.12
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 $257.25 / $360.71 / $445.32	Professional		$257.25	$360.71	$445.32
United Facility/Professional Professional Modifier Low / Median / High Price $139.78 / $173.96 / $452.46	Professional		$139.78	$173.96	$452.46