Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.63 / $183.22 / $373.18	Facility	26	$154.63	$183.22	$373.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.51 / $138.22 / $397.52	Professional		$94.51	$138.22	$397.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $326.63 / $418.27	Professional		$222.51	$326.63	$418.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.13 / $351.00 / $403.82	Professional		$298.13	$351.00	$403.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $142.72 / $171.09 / $193.32	Professional	26	$142.72	$171.09	$193.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $236.88 / $263.45 / $477.44	Professional		$236.88	$263.45	$477.44
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $99.81 / $140.03 / $146.72	Facility	26	$99.81	$140.03	$146.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $115.68 / $231.12	Professional		$77.43	$115.68	$231.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $233.26 / $333.84 / $431.65	Professional		$233.26	$333.84	$431.65
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 $263.94 / $345.54 / $417.85	Professional		$263.94	$345.54	$417.85
United Facility/Professional Professional Modifier Low / Median / High Price $182.81 / $196.83 / $469.17	Professional		$182.81	$196.83	$469.17