Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $87.10 / $100.00	Facility	26	$63.10	$87.10	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $660.69	Professional		$257.04	$354.81	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $912.01	Professional		$489.78	$724.44	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $707.95	Professional		$302.00	$602.56	$707.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $81.28 / $93.33	Professional	26	$38.90	$81.28	$93.33
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $100.00 / $100.00	Facility	26	$66.07	$100.00	$100.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $562.34 / $891.25	Professional		$363.08	$562.34	$891.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $75.86 / $79.43	Facility	26	$63.10	$75.86	$79.43
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $537.03	Professional		$354.81	$501.19	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $616.60 / $831.76	Professional		$426.58	$616.60	$831.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	26	$1,513.56	$1,513.56	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $724.44	Professional		$549.54	$630.96	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $281.84 / $933.25	Professional		$275.42	$281.84	$933.25