Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.75 / $71.83 / $145.04	Facility	26	$63.75	$71.83	$145.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.72 / $192.57 / $565.64	Professional		$145.72	$192.57	$565.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.05 / $29.74 / $130.81	Professional	26	$20.05	$29.74	$130.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.25 / $505.41 / $577.32	Professional		$373.25	$505.41	$577.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.21 / $66.45 / $84.57	Professional	26	$48.21	$66.45	$84.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $478.05 / $511.22	Professional		$214.31	$478.05	$511.22
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.83 / $66.48 / $68.77	Professional	26	$28.83	$66.48	$68.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $277.95 / $367.36 / $645.08	Professional		$277.95	$367.36	$645.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.43 / $58.29 / $92.30	Professional	26	$46.43	$58.29	$92.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $43.12 / $57.37 / $59.63	Facility	26	$43.12	$57.37	$59.63
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $270.14 / $273.14 / $273.14	Professional		$270.14	$273.14	$273.14
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $35.78 / $56.32 / $62.75	Professional	26	$35.78	$56.32	$62.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.08 / $485.44 / $589.87	Professional		$293.08	$485.44	$589.87
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $47.07 / $60.36 / $84.57	Professional	26	$47.07	$60.36	$84.57
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 $335.17 / $508.71 / $601.66	Professional		$335.17	$508.71	$601.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $69.12 / $83.38	Professional	26	$53.07	$69.12	$83.38
United Facility/Professional Professional Modifier Low / Median / High Price $159.74 / $201.24 / $675.56	Professional		$159.74	$201.24	$675.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.00 / $34.36 / $93.62	Professional	26	$27.00	$34.36	$93.62