Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.09 / $91.01 / $183.50	Facility	26	$80.09	$91.01	$183.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.15 / $333.44 / $963.18	Professional		$198.15	$333.44	$963.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.09 / $688.89 / $925.95	Professional		$520.09	$688.89	$925.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.94 / $648.80 / $694.01	Professional		$290.94	$648.80	$694.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $83.89 / $86.78	Professional	26	$36.38	$83.89	$86.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $440.32 / $500.08 / $875.30	Professional		$440.32	$500.08	$875.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $57.66 / $72.50 / $79.73	Facility	26	$57.66	$72.50	$79.73
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $854.96 / $854.96 / $854.96	Professional		$854.96	$854.96	$854.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $441.28 / $686.07 / $802.09	Professional		$441.28	$686.07	$802.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,053.27 / $4,053.27 / $4,053.27	Facility	26	$4,053.27	$4,053.27	$4,053.27
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $544.32 / $692.50 / $818.64	Professional		$544.32	$692.50	$818.64
United Facility/Professional Professional Modifier Low / Median / High Price $273.94 / $337.14 / $919.22	Professional		$273.94	$337.14	$919.22