Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $109.65 / $165.96	Facility	26	$70.79	$109.65	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $537.03	Professional		$190.55	$263.03	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $549.54 / $660.69	Professional		$363.08	$549.54	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $537.03	Professional		$229.09	$457.09	$537.03
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.67 / $93.33 / $104.71	Professional	26	$44.67	$93.33	$104.71
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $123.03 / $165.96	Facility	26	$74.13	$123.03	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $676.08	Professional		$323.59	$416.87	$676.08
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $70.79 / $87.10 / $89.13	Facility	26	$70.79	$87.10	$89.13
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $630.96	Professional		$323.59	$467.74	$630.96
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 $407.38 / $467.74 / $549.54	Professional		$407.38	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $218.78 / $691.83	Professional		$204.17	$218.78	$691.83