Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $120.23 / $138.04	Facility	26	$75.86	$120.23	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $524.81	Professional		$173.78	$269.15	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $660.69	Professional		$363.08	$537.03	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $524.81	Professional		$229.09	$457.09	$524.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $117.49 / $131.83	Professional	26	$56.23	$117.49	$131.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $660.69	Professional		$338.84	$501.19	$660.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $89.13 / $109.65 / $112.20	Facility	26	$89.13	$109.65	$112.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $478.63 / $616.60	Professional		$338.84	$478.63	$616.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $549.54	Professional		$407.38	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $251.19 / $660.69	Professional		$199.53	$251.19	$660.69