Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $98.58 / $112.15 / $226.26	Facility	26	$98.58	$112.15	$226.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.92 / $397.45 / $816.54	Professional		$247.92	$397.45	$816.54
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.34 / $784.17 / $1,108.05	Professional		$450.34	$784.17	$1,108.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $697.79 / $832.39 / $969.47	Professional		$697.79	$832.39	$969.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.53 / $103.26 / $116.26	Professional	26	$86.53	$103.26	$116.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.67 / $696.50 / $1,112.08	Professional		$564.67	$696.50	$1,112.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $67.13 / $89.18 / $92.46	Facility	26	$67.13	$89.18	$92.46
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $51.82 / $51.82 / $51.82	Facility	26	$51.82	$51.82	$51.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $640.82 / $833.96 / $1,085.22	Professional		$640.82	$833.96	$1,085.22
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 $652.96 / $810.09 / $1,033.72	Professional		$652.96	$810.09	$1,033.72
United Facility/Professional Professional Modifier Low / Median / High Price $345.41 / $437.45 / $1,153.03	Professional		$345.41	$437.45	$1,153.03