Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.88 / $177.25 / $361.75	Facility	26	$147.88	$177.25	$361.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $445.36 / $1,366.47	Professional		$369.25	$445.36	$1,366.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $641.97 / $1,079.90 / $1,524.38	Professional		$641.97	$1,079.90	$1,524.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,105.92 / $1,285.01 / $1,497.99	Professional		$1,105.92	$1,285.01	$1,497.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $137.76 / $165.01 / $186.59	Professional	26	$137.76	$165.01	$186.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $601.50 / $871.02 / $1,610.31	Professional		$601.50	$871.02	$1,610.31
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $111.83 / $136.01 / $142.13	Facility	26	$111.83	$136.01	$142.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $156.10 / $173.45	Professional		$156.10	$156.10	$173.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $683.58 / $1,102.15 / $1,524.38	Professional		$683.58	$1,102.15	$1,524.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $740.87 / $740.87 / $740.87	Facility	26	$740.87	$740.87	$740.87
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $932.63 / $1,211.27 / $1,500.84	Professional		$932.63	$1,211.27	$1,500.84
United Facility/Professional Professional Modifier Low / Median / High Price $507.56 / $594.13 / $1,685.21	Professional		$507.56	$594.13	$1,685.21