Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $183.85 / $191.45 / $427.04	Facility	26	$183.85	$191.45	$427.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $204.75 / $861.00	Professional		$133.50	$204.75	$861.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $412.25 / $566.66	Professional		$216.76	$412.25	$566.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $363.68 / $423.82 / $509.67	Professional		$363.68	$423.82	$509.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $159.38 / $188.33 / $217.64	Professional	26	$159.38	$188.33	$217.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.61 / $330.12 / $584.54	Professional		$302.61	$330.12	$584.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $128.38 / $166.57 / $175.44	Facility	26	$128.38	$166.57	$175.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $342.21 / $425.50 / $560.66	Professional		$342.21	$425.50	$560.66
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $356.48 / $461.04 / $544.80	Professional		$356.48	$461.04	$544.80
United Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $229.68 / $595.70	Professional		$202.46	$229.68	$595.70