Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.18 / $109.65 / $125.89	Facility	26	$69.18	$109.65	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $173.78 / $616.60	Professional		$100.00	$173.78	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $338.84	Professional		$120.23	$229.09	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $316.23	Professional		$208.93	$257.04	$316.23
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $104.71 / $125.89	Professional	26	$81.28	$104.71	$125.89
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $83.18 / $83.18 / $85.11	Facility	26	$83.18	$83.18	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $223.87 / $346.74	Professional		$134.90	$223.87	$346.74
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $97.72 / $104.71	Facility	26	$75.86	$97.72	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $239.88 / $338.84	Professional		$186.21	$239.88	$338.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	26	$389.05	$389.05	$389.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $323.59	Professional		$213.80	$251.19	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $316.23	Professional		$120.23	$134.90	$316.23