Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.70 / $71.30 / $143.80	Facility	26	$63.70	$71.30	$143.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.68 / $150.00 / $265.00	Professional	26	$44.68	$150.00	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.85 / $58.60 / $83.59	Professional	26	$29.85	$58.60	$83.59
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $28.58 / $65.90 / $68.18	Professional	26	$28.58	$65.90	$68.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $45.90 / $65.38 / $91.25	Professional	26	$45.90	$65.38	$91.25
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $37.40 / $56.94 / $58.96	Facility	26	$37.40	$56.94	$58.96
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $34.15 / $46.75 / $56.95	Professional	26	$34.15	$46.75	$56.95
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.22 / $57.63 / $83.59	Professional	26	$32.22	$57.63	$83.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $54.18 / $69.73 / $81.48	Professional	26	$54.18	$69.73	$81.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.88 / $34.67 / $91.49	Professional	26	$26.88	$34.67	$91.49