Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.91 / $167.54 / $340.21	Facility	26	$141.91	$167.54	$340.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $127.47 / $249.09	Professional		$104.87	$127.47	$249.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.95 / $82.81 / $231.83	Professional	26	$58.95	$82.81	$231.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.51 / $220.02 / $278.30	Professional		$133.51	$220.02	$278.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.35 / $154.29 / $196.68	Professional	26	$97.35	$154.29	$196.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $221.86 / $253.06	Professional		$155.19	$221.86	$253.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.82 / $155.63 / $175.59	Professional	26	$109.82	$155.63	$175.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $174.50 / $303.43	Professional		$134.63	$174.50	$303.43
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.81 / $138.84 / $214.32	Professional	26	$107.81	$138.84	$214.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $92.06 / $127.97 / $134.00	Facility	26	$92.06	$127.97	$134.00
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $76.78 / $115.02 / $134.00	Professional	26	$76.78	$115.02	$134.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $159.21 / $220.02 / $274.51	Professional		$159.21	$220.02	$274.51
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.06 / $154.29 / $196.68	Professional	26	$102.06	$154.29	$196.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $232.20 / $302.24	Professional		$166.98	$232.20	$302.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $118.50 / $164.10 / $213.60	Professional	26	$118.50	$164.10	$213.60
United Facility/Professional Professional Modifier Low / Median / High Price $91.27 / $171.61 / $296.83	Professional		$91.27	$171.61	$296.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.55 / $79.90 / $210.66	Professional	26	$67.55	$79.90	$210.66