Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.48 / $85.11 / $97.72	Facility	26	$52.48	$85.11	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $676.08	Professional		$251.19	$302.00	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $977.24	Professional		$467.74	$707.95	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $575.44 / $676.08	Professional		$288.40	$575.44	$676.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $81.28 / $91.20	Professional	26	$38.90	$81.28	$91.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $616.60 / $870.96	Professional		$436.52	$616.60	$870.96
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $63.10 / $75.86 / $79.43	Facility	26	$63.10	$75.86	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $794.33	Professional		$426.58	$660.69	$794.33
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility	26	$1,513.56	$1,513.56	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $707.95	Professional		$537.03	$645.65	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $891.25	Professional		$269.15	$309.03	$891.25