Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.62 / $137.34 / $279.77	Facility	26	$116.62	$137.34	$279.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.12 / $325.73 / $681.38	Professional		$156.12	$325.73	$681.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.06 / $539.24 / $697.94	Professional		$338.06	$539.24	$697.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $506.35 / $590.46 / $685.85	Professional		$506.35	$590.46	$685.85
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $107.32 / $128.66 / $145.36	Professional	26	$107.32	$128.66	$145.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $379.68 / $440.28 / $797.86	Professional		$379.68	$440.28	$797.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $75.09 / $103.85 / $109.88	Facility	26	$75.09	$103.85	$109.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $374.65 / $573.62 / $727.50	Professional		$374.65	$573.62	$727.50
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 $445.28 / $582.38 / $704.94	Professional		$445.28	$582.38	$704.94
United Facility/Professional Professional Modifier Low / Median / High Price $285.23 / $385.24 / $823.23	Professional		$285.23	$385.24	$823.23