Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $64.57 / $72.44	Facility	26	$45.71	$64.57	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $295.12	Professional		$61.66	$107.15	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $186.21 / $288.40	Professional		$79.43	$186.21	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $275.42	Professional		$177.83	$229.09	$275.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $61.66 / $72.44	Professional	26	$45.71	$61.66	$72.44
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $181.97 / $275.42	Professional		$104.71	$181.97	$275.42
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $45.71 / $54.95 / $57.54	Facility	26	$45.71	$54.95	$57.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $288.40	Professional		$109.65	$204.17	$288.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $295.12	Professional		$144.54	$208.93	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $275.42	Professional		$83.18	$102.33	$275.42