Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.53 / $165.92 / $373.18	Facility	26	$114.53	$165.92	$373.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.34 / $304.82 / $1,001.00	Professional		$147.34	$304.82	$1,001.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $494.63 / $687.35	Professional		$281.27	$494.63	$687.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.66 / $583.08 / $675.44	Professional		$498.66	$583.08	$675.44
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 $345.52 / $435.59 / $789.36	Professional		$345.52	$435.59	$789.36
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $99.81 / $138.02 / $146.72	Facility	26	$99.81	$138.02	$146.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.47 / $543.32 / $716.83	Professional		$314.47	$543.32	$716.83
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 $422.46 / $570.72 / $691.68	Professional		$422.46	$570.72	$691.68
United Facility/Professional Professional Modifier Low / Median / High Price $234.46 / $278.33 / $776.66	Professional		$234.46	$278.33	$776.66