Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $202.21 / $240.06 / $489.01	Facility	26	$202.21	$240.06	$489.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $233.65 / $872.96	Professional		$220.00	$233.65	$872.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.70 / $650.77 / $904.49	Professional		$366.70	$650.77	$904.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.20 / $767.26 / $888.83	Professional		$656.20	$767.26	$888.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $187.00 / $224.21 / $253.29	Professional	26	$187.00	$224.21	$253.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.04 / $573.16 / $1,038.68	Professional		$453.04	$573.16	$1,038.68
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $130.33 / $180.23 / $192.29	Facility	26	$130.33	$180.23	$192.29
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $223.80 / $223.80 / $223.80	Professional		$223.80	$223.80	$223.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $409.46 / $711.58 / $942.84	Professional		$409.46	$711.58	$942.84
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 $553.29 / $754.54 / $909.60	Professional		$553.29	$754.54	$909.60
United Facility/Professional Professional Modifier Low / Median / High Price $306.79 / $388.26 / $994.57	Professional		$306.79	$388.26	$994.57