Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.89 / $99.45 / $219.29	Facility	26	$74.89	$99.45	$219.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.05 / $240.61 / $712.23	Professional		$147.05	$240.61	$712.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.07 / $519.05 / $664.80	Professional		$381.07	$519.05	$664.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $499.77 / $532.90	Professional		$223.40	$499.77	$532.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.41 / $100.10 / $103.55	Professional	26	$43.41	$100.10	$103.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $374.64 / $664.86	Professional		$342.50	$374.64	$664.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $64.44 / $86.52 / $89.11	Facility	26	$64.44	$86.52	$89.11
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $316.77 / $316.77 / $316.77	Professional		$316.77	$316.77	$316.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.65 / $512.78 / $601.67	Professional		$329.65	$512.78	$601.67
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 $412.02 / $525.42 / $619.66	Professional		$412.02	$525.42	$619.66
United Facility/Professional Professional Modifier Low / Median / High Price $204.31 / $300.47 / $695.78	Professional		$204.31	$300.47	$695.78