Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.58 / $88.77 / $179.04	Facility	26	$78.58	$88.77	$179.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $262.88 / $873.82	Professional		$118.69	$262.88	$873.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.79 / $416.89 / $525.66	Professional		$298.79	$416.89	$525.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.46 / $401.57 / $428.09	Professional		$179.46	$401.57	$428.09
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.50 / $81.86 / $84.68	Professional	26	$35.50	$81.86	$84.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $296.80 / $536.96	Professional		$273.26	$296.80	$536.96
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $51.84 / $70.73 / $73.44	Facility	26	$51.84	$70.73	$73.44
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $245.84 / $245.84	Professional		$245.84	$245.84	$245.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $267.80 / $414.20 / $488.19	Professional		$267.80	$414.20	$488.19
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 $331.38 / $415.48 / $498.39	Professional		$331.38	$415.48	$498.39
United Facility/Professional Professional Modifier Low / Median / High Price $160.05 / $195.97 / $559.62	Professional		$160.05	$195.97	$559.62