Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.33 / $154.88 / $190.55	Facility	26	$93.33	$154.88	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $338.84	Professional		$131.83	$154.88	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $436.52	Professional		$208.93	$323.59	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $346.74 / $407.38	Professional		$162.18	$346.74	$407.38
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $169.82 / $194.98	Professional	26	$77.62	$169.82	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $302.00 / $489.78	Professional		$194.98	$302.00	$489.78
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $117.49 / $141.25 / $147.91	Facility	26	$117.49	$141.25	$147.91
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $85.11 / $199.53	Professional		$77.62	$85.11	$199.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $436.52	Professional		$218.78	$316.23	$436.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility	26	$1,096.48	$1,096.48	$1,096.48
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $389.05	Professional		$263.03	$302.00	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $190.55 / $436.52	Professional		$181.97	$190.55	$436.52