Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $263.03 / $295.12	Facility	26	$186.21	$263.03	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $234.42 / $380.19	Professional	26	$100.00	$234.42	$380.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $165.96 / $338.84	Professional	26	$112.20	$165.96	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $239.88 / $269.15	Professional	26	$114.82	$239.88	$269.15
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $151.36 / $229.09 / $295.12	Facility	26	$151.36	$229.09	$295.12
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $151.36 / $257.04 / $371.54	Professional	26	$151.36	$257.04	$371.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $186.21 / $223.87 / $234.42	Facility	26	$186.21	$223.87	$234.42
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $204.17 / $251.19	Professional	26	$141.25	$204.17	$251.19
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $234.42 / $323.59	Professional	26	$112.20	$234.42	$323.59
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility	26	$4,677.35	$4,677.35	$4,677.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $239.88 / $288.40	Professional	26	$213.80	$239.88	$288.40
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $112.20 / $346.74	Professional	26	$104.71	$112.20	$346.74