Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $223.87 / $251.19	Facility	26	$162.18	$223.87	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $794.33	Professional		$295.12	$457.09	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,096.48	Professional		$338.84	$524.81	$1,096.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $741.31 / $933.25	Professional		$645.65	$741.31	$933.25
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $213.80 / $257.04	Professional	26	$181.97	$213.80	$257.04
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	26	$251.19	$251.19	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,071.52	Professional		$549.54	$724.44	$1,071.52
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $194.98 / $199.53	Facility	26	$162.18	$194.98	$199.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $24.55 / $114.82 / $162.18	Facility	26	$24.55	$114.82	$162.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $758.58 / $1,047.13	Professional		$371.54	$758.58	$1,047.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,023.29	Professional		$630.96	$776.25	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $676.08 / $1,202.26	Professional		$338.84	$676.08	$1,202.26