Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $190.02 / $216.44 / $436.64	Facility	26	$190.02	$216.44	$436.64
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $190.02 / $265.00	Professional	26	$90.00	$190.02	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.91 / $174.03 / $253.71	Professional	26	$89.91	$174.03	$253.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $86.20 / $198.77 / $205.62	Professional	26	$86.20	$198.77	$205.62
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $138.24 / $196.88 / $274.80	Professional	26	$138.24	$196.88	$274.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $113.52 / $171.73 / $175.54	Facility	26	$113.52	$171.73	$175.54
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $103.72 / $151.15 / $176.59	Professional	26	$103.72	$151.15	$176.59
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $95.73 / $171.16 / $253.71	Professional	26	$95.73	$171.16	$253.71
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $7,584.64 / $7,584.64 / $7,584.64	Facility	26	$7,584.64	$7,584.64	$7,584.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $163.16 / $211.69 / $245.40	Professional	26	$163.16	$211.69	$245.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $80.03 / $129.09 / $270.79	Professional	26	$80.03	$129.09	$270.79