Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $104.71 / $151.36 / $177.83	Facility	26	$104.71	$151.36	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,047.13	Professional		$426.58	$562.34	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $112.20 / $177.83	Professional	26	$74.13	$112.20	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $977.24 / $1,348.96	Professional		$512.86	$977.24	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $158.49 / $213.80	Professional	26	$81.28	$158.49	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,148.15	Professional		$707.95	$912.01	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $151.36 / $181.97	Professional	26	$114.82	$151.36	$181.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,258.93	Professional		$602.56	$758.58	$1,258.93
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $141.25 / $204.17	Professional	26	$109.65	$141.25	$204.17
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $138.04 / $141.25	Facility	26	$114.82	$138.04	$141.25
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $87.10 / $123.03 / $154.88	Professional	26	$87.10	$123.03	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,202.26	Professional		$645.65	$933.25	$1,202.26
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $147.91 / $204.17	Professional	26	$97.72	$147.91	$204.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,174.90	Professional		$776.25	$891.25	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $131.83 / $141.25 / $190.55	Professional	26	$131.83	$141.25	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $1,122.02	Professional		$354.81	$398.11	$1,122.02
United Facility/Professional Professional Modifier 26 Low / Median / High Price $63.10 / $66.07 / $194.98	Professional	26	$63.10	$66.07	$194.98