Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.42 / $19.98 / $40.39	Facility	26	$17.42	$19.98	$40.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.77 / $37.42 / $84.15	Professional		$24.77	$37.42	$84.15
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.59 / $67.59 / $98.05	Professional		$38.59	$67.59	$98.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.75 / $80.63 / $93.44	Professional		$67.75	$80.63	$93.44
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.31 / $18.29 / $20.59	Professional	26	$15.31	$18.29	$20.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $63.86 / $100.65	Professional		$54.98	$63.86	$100.65
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $12.11 / $15.78 / $16.75	Facility	26	$12.11	$15.78	$16.75
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	26	$9.25	$9.25	$9.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $74.54 / $96.76	Professional		$56.11	$74.54	$96.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $209.36 / $209.36 / $209.36	Facility	26	$209.36	$209.36	$209.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $70.20 / $93.80	Professional		$59.25	$70.20	$93.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $40.34 / $100.27	Professional		$25.56	$40.34	$100.27