Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.46 / $160.62 / $323.93	Facility	26	$140.46	$160.62	$323.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.30 / $400.14 / $1,813.66	Professional		$233.30	$400.14	$1,813.66
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $89.44 / $332.00	Professional	26	$43.40	$89.44	$332.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $601.46 / $821.41 / $1,054.24	Professional		$601.46	$821.41	$1,054.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.19 / $147.27 / $187.74	Professional	26	$105.19	$147.27	$187.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.19 / $780.52 / $832.96	Professional		$349.19	$780.52	$832.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $63.73 / $146.96 / $152.02	Professional	26	$63.73	$146.96	$152.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $588.00 / $1,051.17	Professional		$530.51	$588.00	$1,051.17
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.48 / $131.32 / $203.72	Professional	26	$102.48	$131.32	$203.72
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $94.48 / $127.01 / $131.00	Facility	26	$94.48	$127.01	$131.00
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $78.00 / $116.38 / $134.55	Professional	26	$78.00	$116.38	$134.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $517.92 / $805.60 / $955.39	Professional		$517.92	$805.60	$955.39
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $102.72 / $131.69 / $187.74	Professional	26	$102.72	$131.69	$187.74
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 $651.41 / $831.17 / $979.72	Professional		$651.41	$831.17	$979.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $118.34 / $152.37 / $183.82	Professional	26	$118.34	$152.37	$183.82
United Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $325.18 / $1,100.06	Professional		$320.08	$325.18	$1,100.06
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.64 / $63.84 / $206.39	Professional	26	$58.64	$63.84	$206.39