Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.34 / $183.22 / $373.18	Facility	26	$155.34	$183.22	$373.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.30 / $482.06 / $987.29	Professional		$230.30	$482.06	$987.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.33 / $809.85 / $1,026.57	Professional		$531.33	$809.85	$1,026.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $744.77 / $867.94 / $1,008.80	Professional		$744.77	$867.94	$1,008.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $142.72 / $171.09 / $193.32	Professional	26	$142.72	$171.09	$193.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $568.96 / $646.95 / $1,172.36	Professional		$568.96	$646.95	$1,172.36
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $99.81 / $138.02 / $146.72	Facility	26	$99.81	$138.02	$146.72
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $156.10 / $156.10	Professional		$156.10	$156.10	$156.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $587.04 / $838.08 / $1,075.48	Professional		$587.04	$838.08	$1,075.48
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 $650.57 / $853.27 / $1,029.93	Professional		$650.57	$853.27	$1,029.93
United Facility/Professional Professional Modifier Low / Median / High Price $446.93 / $577.29 / $1,156.45	Professional		$446.93	$577.29	$1,156.45