Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $165.96 / $190.55	Facility	26	$123.03	$165.96	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $758.58	Professional		$177.83	$263.03	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $501.19 / $724.44	Professional		$346.74	$501.19	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $575.44 / $676.08	Professional		$269.15	$575.44	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $169.82 / $194.98	Professional	26	$75.86	$169.82	$194.98
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $165.96 / $165.96	Facility	26	$114.82	$165.96	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $812.83	Professional		$346.74	$575.44	$812.83
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 $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $724.44	Professional		$309.03	$489.78	$724.44
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 $331.13 / $467.74 / $645.65	Professional		$331.13	$467.74	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $630.96	Professional		$234.42	$275.42	$630.96