Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.49 / $64.02 / $141.87	Facility	26	$61.49	$64.02	$141.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $103.99 / $255.38	Professional		$72.34	$103.99	$255.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.96 / $197.18 / $275.35	Professional		$105.96	$197.18	$275.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.18 / $206.48 / $250.72	Professional		$177.18	$206.48	$250.72
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $52.95 / $62.60 / $72.31	Professional	26	$52.95	$62.60	$72.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $183.68 / $293.89	Professional		$147.84	$183.68	$293.89
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $36.93 / $55.36 / $56.28	Facility	26	$36.93	$55.36	$56.28
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $78.25 / $78.25 / $78.25	Professional		$78.25	$78.25	$78.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.44 / $207.20 / $274.01	Professional		$161.44	$207.20	$274.01
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $379.18 / $379.18 / $379.18	Facility	26	$379.18	$379.18	$379.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.03 / $227.36 / $266.25	Professional		$177.03	$227.36	$266.25
United Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $105.69 / $291.11	Professional		$97.74	$105.69	$291.11