Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.79 / $87.15 / $266.92	Facility	26	$71.79	$87.15	$266.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.04 / $264.55 / $504.40	Professional		$143.04	$264.55	$504.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $280.33 / $471.95	Professional		$70.98	$280.33	$471.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $256.43 / $611.50 / $674.05	Professional		$256.43	$611.50	$674.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.43 / $129.82 / $143.10	Professional	26	$57.43	$129.82	$143.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.12 / $470.73 / $853.03	Professional		$429.12	$470.73	$853.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.69 / $118.95 / $121.27	Facility	26	$87.69	$118.95	$121.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.06 / $540.15 / $790.55	Professional		$280.06	$540.15	$790.55
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $726.04 / $726.04 / $726.04	Facility	26	$726.04	$726.04	$726.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $497.35 / $573.30 / $870.42	Professional		$497.35	$573.30	$870.42
United Facility/Professional Professional Modifier Low / Median / High Price $140.79 / $168.90 / $563.00	Professional		$140.79	$168.90	$563.00