Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.88 / $87.60 / $171.67	Facility	26	$74.88	$87.60	$171.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.15 / $241.84 / $600.00	Professional		$150.15	$241.84	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.87 / $526.57 / $684.03	Professional		$388.87	$526.57	$684.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.76 / $501.90 / $536.15	Professional		$224.76	$501.90	$536.15
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.06 / $78.54 / $81.25	Professional	26	$34.06	$78.54	$81.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.04 / $379.12 / $672.99	Professional		$341.04	$379.12	$672.99
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $50.39 / $67.81 / $69.68	Facility	26	$50.39	$67.81	$69.68
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 $326.33 / $517.67 / $611.38	Professional		$326.33	$517.67	$611.38
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 $417.06 / $533.32 / $627.25	Professional		$417.06	$533.32	$627.25
United Facility/Professional Professional Modifier Low / Median / High Price $207.68 / $252.96 / $704.29	Professional		$207.68	$252.96	$704.29