Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.16 / $141.53 / $288.83	Facility	26	$120.16	$141.53	$288.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $624.10 / $1,201.21	Professional		$300.74	$624.10	$1,201.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $682.13 / $939.04 / $1,266.50	Professional		$682.13	$939.04	$1,266.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $904.86 / $1,050.95 / $1,225.64	Professional		$904.86	$1,050.95	$1,225.64
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.37 / $131.05 / $148.13	Professional	26	$109.37	$131.05	$148.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $479.91 / $755.13 / $1,342.95	Professional		$479.91	$755.13	$1,342.95
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.45 / $103.85 / $113.23	Facility	26	$75.45	$103.85	$113.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $616.08 / $973.10 / $1,283.31	Professional		$616.08	$973.10	$1,283.31
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,088.88 / $1,088.88 / $1,088.88	Facility	26	$1,088.88	$1,088.88	$1,088.88
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $790.62 / $1,055.36 / $1,251.65	Professional		$790.62	$1,055.36	$1,251.65
United Facility/Professional Professional Modifier Low / Median / High Price $528.84 / $593.23 / $1,405.41	Professional		$528.84	$593.23	$1,405.41