Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.80 / $77.68 / $173.35	Facility	26	$74.80	$77.68	$173.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.59 / $168.23 / $594.78	Professional		$113.59	$168.23	$594.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $243.58 / $343.20	Professional		$129.33	$243.58	$343.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.95 / $255.17 / $309.97	Professional		$218.95	$255.17	$309.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $64.70 / $76.44 / $88.35	Professional	26	$64.70	$76.44	$88.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $199.13 / $355.83	Professional		$182.50	$199.13	$355.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $51.45 / $67.59 / $70.34	Facility	26	$51.45	$67.59	$70.34
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $124.32 / $127.76 / $127.76	Professional		$124.32	$127.76	$127.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $256.52 / $340.47	Professional		$204.96	$256.52	$340.47
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $782.93	Facility	26	$782.93	$782.93	$782.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $209.72 / $279.83 / $331.63	Professional		$209.72	$279.83	$331.63
United Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $145.46 / $388.52	Professional		$120.74	$145.46	$388.52