Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.33 / $196.66 / $397.78	Facility	26	$171.33	$196.66	$397.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $386.82 / $873.28	Professional		$196.11	$386.82	$873.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.09 / $546.47 / $771.95	Professional		$254.09	$546.47	$771.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.52 / $572.80 / $695.41	Professional		$491.52	$572.80	$695.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $147.79 / $174.75 / $201.81	Professional	26	$147.79	$174.75	$201.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $434.18 / $800.07	Professional		$321.00	$434.18	$800.07
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $117.11 / $154.57 / $160.80	Facility	26	$117.11	$154.57	$160.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $262.20 / $262.20 / $494.53	Professional		$262.20	$262.20	$494.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $568.26 / $768.20	Professional		$417.28	$568.26	$768.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $1,640.24 / $1,640.24	Facility	26	$1,640.24	$1,640.24	$1,640.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $471.02 / $629.41 / $745.68	Professional		$471.02	$629.41	$745.68
United Facility/Professional Professional Modifier Low / Median / High Price $276.91 / $294.77 / $815.32	Professional		$276.91	$294.77	$815.32