Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $117.49 / $144.54	Facility	26	$70.79	$117.49	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $630.96	Professional		$199.53	$263.03	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $741.31	Professional		$354.81	$537.03	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $575.44 / $691.83	Professional		$275.42	$575.44	$691.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $125.89 / $147.91	Professional	26	$57.54	$125.89	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $812.83	Professional		$380.19	$575.44	$812.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $107.15 / $109.65	Facility	26	$89.13	$107.15	$109.65
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $724.44	Professional		$363.08	$524.81	$724.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $741.31 / $741.31 / $741.31	Facility	26	$741.31	$741.31	$741.31
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $660.69	Professional		$407.38	$501.19	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $676.08	Professional		$281.84	$309.03	$676.08