Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.72 / $136.68 / $275.86	Facility	26	$120.72	$136.68	$275.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.44 / $321.88 / $1,277.82	Professional		$145.44	$321.88	$1,277.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.11 / $507.48 / $645.78	Professional		$368.11	$507.48	$645.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $491.28 / $522.79	Professional		$219.16	$491.28	$522.79
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $54.51 / $125.70 / $130.03	Professional	26	$54.51	$125.70	$130.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $334.64 / $364.56 / $654.41	Professional		$334.64	$364.56	$654.41
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $79.94 / $108.54 / $112.20	Facility	26	$79.94	$108.54	$112.20
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $351.44 / $351.44 / $351.44	Professional		$351.44	$351.44	$351.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $335.92 / $508.56 / $594.95	Professional		$335.92	$508.56	$594.95
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 $403.83 / $511.30 / $607.35	Professional		$403.83	$511.30	$607.35
United Facility/Professional Professional Modifier Low / Median / High Price $198.23 / $243.36 / $668.74	Professional		$198.23	$243.36	$668.74