Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $61.66 / $70.79	Facility	26	$38.90	$61.66	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $263.03	Professional		$75.86	$97.72	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $177.83 / $269.15	Professional		$97.72	$177.83	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $245.47	Professional		$158.49	$194.98	$245.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $58.88 / $70.79	Professional	26	$45.71	$58.88	$70.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $281.84	Professional		$138.04	$194.98	$281.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $54.95 / $56.23	Facility	26	$45.71	$54.95	$56.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $269.15	Professional		$151.36	$194.98	$269.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $257.04	Professional		$165.96	$199.53	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $245.47	Professional		$93.33	$107.15	$245.47