Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.73 / $136.94 / $276.16	Facility	26	$119.73	$136.94	$276.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.47 / $345.42 / $1,797.00	Professional		$286.47	$345.42	$1,797.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.94 / $785.28 / $1,022.03	Professional		$579.94	$785.28	$1,022.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.46 / $747.05 / $797.83	Professional		$334.46	$747.05	$797.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.35 / $125.33 / $129.65	Professional	26	$54.35	$125.33	$129.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.57 / $568.40 / $1,005.69	Professional		$507.57	$568.40	$1,005.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $81.40 / $108.32 / $112.56	Facility	26	$81.40	$108.32	$112.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $496.66 / $780.52 / $914.33	Professional		$496.66	$780.52	$914.33
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 $621.80 / $796.71 / $935.18	Professional		$621.80	$796.71	$935.18
United Facility/Professional Professional Modifier Low / Median / High Price $311.36 / $382.54 / $1,050.08	Professional		$311.36	$382.54	$1,050.08