Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.75 / $49.32 / $99.35	Facility	26	$43.75	$49.32	$99.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.76 / $270.32 / $526.58	Professional		$120.76	$270.32	$526.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.58 / $427.28 / $536.50	Professional		$311.58	$427.28	$536.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.22 / $412.88 / $441.83	Professional		$185.22	$412.88	$441.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $19.86 / $45.80 / $47.37	Professional	26	$19.86	$45.80	$47.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $297.19 / $544.91	Professional		$263.22	$297.19	$544.91
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.07 / $39.53 / $40.86	Facility	26	$29.07	$39.53	$40.86
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $357.74 / $357.74 / $949.95	Professional		$357.74	$357.74	$949.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.08 / $417.24 / $493.66	Professional		$262.08	$417.24	$493.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $337.68 / $431.18 / $507.86	Professional		$337.68	$431.18	$507.86
United Facility/Professional Professional Modifier Low / Median / High Price $166.77 / $200.49 / $570.26	Professional		$166.77	$200.49	$570.26