Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $136.09 / $259.91	Professional		$93.28	$136.09	$259.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $29.05 / $34.61 / $158.65	Professional	26	$29.05	$34.61	$158.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $139.44 / $253.14	Professional		$49.96	$139.44	$253.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.32 / $41.46 / $61.30	Professional	26	$18.32	$41.46	$61.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.19 / $317.33 / $452.31	Professional		$153.19	$317.33	$452.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.32 / $73.16 / $104.28	Professional	26	$35.32	$73.16	$104.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $150.87 / $256.72 / $510.34	Professional		$150.87	$256.72	$510.34
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $69.00 / $116.70	Professional	26	$58.71	$69.00	$116.70
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $49.98 / $71.37 / $75.04	Facility	26	$49.98	$71.37	$75.04
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $48.02 / $56.94 / $74.52	Professional	26	$48.02	$56.94	$74.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.46 / $294.16 / $448.40	Professional		$147.46	$294.16	$448.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $20.39 / $41.46 / $64.68	Professional	26	$20.39	$41.46	$64.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $277.70 / $301.14 / $535.07	Professional		$277.70	$301.14	$535.07
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.63 / $75.67 / $120.44	Professional	26	$67.63	$75.67	$120.44
United Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $170.08 / $503.81	Professional		$84.23	$170.08	$503.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.17 / $40.21 / $125.03	Professional	26	$22.17	$40.21	$125.03