Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $14.13 / $19.95 / $22.39	Facility	26	$14.13	$19.95	$22.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $204.17	Professional		$64.57	$91.20	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $239.88	Professional		$141.25	$208.93	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $173.78 / $204.17	Professional		$87.10	$173.78	$204.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $8.91 / $18.62 / $20.89	Professional	26	$8.91	$18.62	$20.89
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $257.04	Professional		$123.03	$186.21	$257.04
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $14.45 / $16.98 / $18.20	Facility	26	$14.45	$16.98	$18.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $234.42	Professional		$123.03	$173.78	$234.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $208.93	Professional		$147.91	$169.82	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $83.18 / $239.88	Professional		$70.79	$83.18	$239.88