Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $84.56 / $95.55 / $192.56	Facility	26	$84.56	$95.55	$192.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.47 / $292.69 / $1,345.19	Professional		$192.47	$292.69	$1,345.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $496.69 / $672.55 / $876.85	Professional		$496.69	$672.55	$876.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $633.84 / $677.82	Professional		$284.14	$633.84	$677.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.79 / $87.16 / $90.17	Professional	26	$37.79	$87.16	$90.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.00 / $492.80 / $855.13	Professional		$444.00	$492.80	$855.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $57.17 / $75.42 / $79.06	Facility	26	$57.17	$75.42	$79.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $454.08 / $675.20 / $791.73	Professional		$454.08	$675.20	$791.73
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,526.97 / $1,526.97 / $1,526.97	Facility	26	$1,526.97	$1,526.97	$1,526.97
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $531.72 / $677.73 / $799.69	Professional		$531.72	$677.73	$799.69
United Facility/Professional Professional Modifier Low / Median / High Price $266.88 / $329.50 / $897.94	Professional		$266.88	$329.50	$897.94