Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.64 / $56.07 / $113.16	Facility	26	$49.64	$56.07	$113.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $277.51 / $500.89	Professional		$124.02	$277.51	$500.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.80 / $439.92 / $558.98	Professional		$319.80	$439.92	$558.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $423.83 / $453.40	Professional		$190.07	$423.83	$453.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.57 / $52.05 / $53.84	Professional	26	$22.57	$52.05	$53.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $313.04 / $561.17	Professional		$287.68	$313.04	$561.17
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $33.43 / $44.85 / $46.23	Facility	26	$33.43	$44.85	$46.23
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $273.14 / $274.89 / $463.66	Professional		$273.14	$274.89	$463.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.83 / $434.07 / $508.26	Professional		$273.83	$434.07	$508.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,177.68 / $1,177.68 / $1,177.68	Facility	26	$1,177.68	$1,177.68	$1,177.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $347.76 / $440.61 / $523.02	Professional		$347.76	$440.61	$523.02
United Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $173.27 / $587.28	Professional		$171.48	$173.27	$587.28