Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $184.50 / $254.81 / $561.53	Facility	26	$184.50	$254.81	$561.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.63 / $261.77 / $586.96	Professional	26	$93.63	$261.77	$586.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.18 / $224.25 / $327.47	Professional	26	$116.18	$224.25	$327.47
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $111.52 / $257.16 / $266.02	Professional	26	$111.52	$257.16	$266.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $179.87 / $227.13 / $357.55	Professional	26	$179.87	$227.13	$357.55
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $166.60 / $222.16 / $227.80	Facility	26	$166.60	$222.16	$227.80
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $139.49 / $204.73 / $248.20	Professional	26	$139.49	$204.73	$248.20
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $123.35 / $220.55 / $327.47	Professional	26	$123.35	$220.55	$327.47
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,641.51 / $4,641.51 / $4,641.51	Facility	26	$4,641.51	$4,641.51	$4,641.51
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $211.67 / $265.47 / $318.36	Professional	26	$211.67	$265.47	$318.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.38 / $106.90 / $348.32	Professional	26	$103.38	$106.90	$348.32