Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.73 / $59.58 / $132.76	Facility	26	$57.73	$59.58	$132.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $56.46 / $268.00	Professional		$43.52	$56.46	$268.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $104.89 / $147.74	Professional		$58.61	$104.89	$147.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $107.63 / $128.46	Professional		$92.36	$107.63	$128.46
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.55 / $58.59 / $67.66	Professional	26	$49.55	$58.59	$67.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $83.84 / $149.43	Professional		$66.50	$83.84	$149.43
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $39.72 / $51.82 / $54.40	Facility	26	$39.72	$51.82	$54.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $106.58 / $143.13	Professional		$85.76	$106.58	$143.13
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 $87.98 / $118.60 / $140.97	Professional		$87.98	$118.60	$140.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.05 / $58.72 / $163.16	Professional		$53.05	$58.72	$163.16