Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $794.33	Professional		$338.84	$446.68	$794.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $60.26 / $77.62 / $158.49	Professional	26	$60.26	$77.62	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $446.68 / $851.14	Professional		$194.98	$446.68	$851.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $64.57 / $125.89	Professional	26	$36.31	$64.57	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $1,348.96	Professional		$478.63	$954.99	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $144.54 / $204.17	Professional	26	$72.44	$144.54	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,548.82	Professional		$575.44	$870.96	$1,548.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $245.47	Professional	26	$97.72	$131.83	$245.47
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $123.03 / $147.91 / $147.91	Facility	26	$123.03	$147.91	$147.91
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $125.89 / $158.49	Professional	26	$97.72	$125.89	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $891.25 / $1,445.44	Professional		$338.84	$891.25	$1,445.44
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $79.43 / $218.78	Professional	26	$43.65	$79.43	$218.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $891.25 / $1,513.56	Professional		$575.44	$891.25	$1,513.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.13 / $151.36 / $239.88	Professional	26	$89.13	$151.36	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $1,479.11	Professional		$234.42	$398.11	$1,479.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $79.43 / $234.42	Professional	26	$46.77	$79.43	$234.42