Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $180.77 / $212.60 / $417.43	Facility	26	$180.77	$212.60	$417.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $146.09 / $353.54	Professional		$126.29	$146.09	$353.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.45 / $289.14 / $381.98	Professional		$209.45	$289.14	$381.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.92 / $313.27 / $357.48	Professional		$263.92	$313.27	$357.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $158.44 / $191.09 / $214.61	Professional	26	$158.44	$191.09	$214.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.94 / $236.53 / $408.69	Professional		$200.94	$236.53	$408.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $122.50 / $164.57 / $167.50	Facility	26	$122.50	$164.57	$167.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.56 / $304.11 / $388.97	Professional		$226.56	$304.11	$388.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $803.73 / $803.73 / $803.73	Facility	26	$803.73	$803.73	$803.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $242.31 / $318.16 / $380.90	Professional		$242.31	$318.16	$380.90
United Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $144.44 / $427.70	Professional		$117.90	$144.44	$427.70