Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $61.66 / $97.72 / $114.82	Facility	26	$61.66	$97.72	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $831.76	Professional		$281.84	$380.19	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $1,148.15	Professional		$426.58	$724.44	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $977.24	Professional		$676.08	$776.25	$977.24
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $95.50 / $117.49	Professional	26	$85.11	$95.50	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $741.31 / $1,096.48	Professional		$575.44	$741.31	$1,096.48
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $89.13 / $93.33	Facility	26	$74.13	$89.13	$93.33
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.96 / $51.29 / $74.13	Facility	26	$10.96	$51.29	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,096.48	Professional		$602.56	$794.33	$1,096.48
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,000.00	Professional		$645.65	$794.33	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $1,047.13	Professional		$346.74	$524.81	$1,047.13