Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $18.92 / $22.15 / $43.76	Facility	26	$18.92	$22.15	$43.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $90.01 / $223.76	Professional		$51.94	$90.01	$223.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.93 / $192.15 / $233.09	Professional		$132.93	$192.15	$233.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.61 / $190.78 / $204.22	Professional		$85.61	$190.78	$204.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.59 / $19.80 / $20.49	Professional	26	$8.59	$19.80	$20.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $137.55 / $257.81	Professional		$129.69	$137.55	$257.81
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $13.08 / $17.12 / $18.09	Facility	26	$13.08	$17.12	$18.09
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $334.82 / $334.82 / $334.82	Professional		$334.82	$334.82	$334.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.20 / $186.42 / $226.10	Professional		$124.20	$186.42	$226.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $183.78 / $229.30	Professional		$148.84	$183.78	$229.30
United Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $85.10 / $257.47	Professional		$70.56	$85.10	$257.47