Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $147.91 / $173.78	Facility	26	$93.33	$147.91	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $602.56	Professional		$181.97	$331.13	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $724.44	Professional		$213.80	$331.13	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $588.84	Professional		$416.87	$467.74	$588.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $144.54 / $173.78	Professional	26	$125.89	$144.54	$173.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $676.08	Professional		$363.08	$467.74	$676.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $112.20 / $134.90 / $138.04	Facility	26	$112.20	$134.90	$138.04
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $16.60 / $77.62 / $112.20	Facility	26	$16.60	$77.62	$112.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $478.63 / $676.08	Professional		$234.42	$478.63	$676.08
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $776.25 / $776.25 / $776.25	Facility	26	$776.25	$776.25	$776.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $645.65	Professional		$398.11	$489.78	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $467.74 / $1,023.29	Professional		$213.80	$467.74	$1,023.29