Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $66.75 / $95.55 / $192.41	Facility	26	$66.75	$95.55	$192.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.77 / $325.56 / $777.33	Professional		$198.77	$325.56	$777.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.11 / $693.44 / $899.87	Professional		$512.11	$693.44	$899.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.54 / $659.11 / $704.99	Professional		$295.54	$659.11	$704.99
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.11 / $87.90 / $90.93	Professional	26	$38.11	$87.90	$90.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.25 / $505.68 / $889.08	Professional		$447.25	$505.68	$889.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $57.17 / $76.09 / $79.56	Facility	26	$57.17	$76.09	$79.56
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $351.98 / $455.68	Professional		$316.77	$351.98	$455.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.41 / $686.28 / $810.30	Professional		$436.41	$686.28	$810.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,526.97 / $1,526.97 / $1,526.97	Facility	26	$1,526.97	$1,526.97	$1,526.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $548.10 / $699.07 / $824.33	Professional		$548.10	$699.07	$824.33
United Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $340.33 / $925.60	Professional		$274.86	$340.33	$925.60