Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.83 / $136.22 / $228.97	Professional		$97.83	$136.22	$228.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.22 / $55.27 / $101.76	Professional	26	$40.22	$55.27	$101.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $145.40 / $239.63	Professional		$74.95	$145.40	$239.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $58.71 / $97.65	Professional	26	$31.92	$58.71	$97.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $249.64 / $355.82	Professional		$120.52	$249.64	$355.82
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $49.41 / $102.34 / $145.88	Professional	26	$49.41	$102.34	$145.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $201.75 / $236.84 / $401.05	Professional		$201.75	$236.84	$401.05
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $74.22 / $90.16 / $163.38	Professional	26	$74.22	$90.16	$163.38
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $77.52 / $101.84 / $113.28	Facility	26	$77.52	$101.84	$113.28
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $76.61 / $92.25 / $134.40	Professional	26	$76.61	$92.25	$134.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.40 / $253.64 / $361.81	Professional		$145.40	$253.64	$361.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $31.92 / $58.71 / $97.65	Professional	26	$31.92	$58.71	$97.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $262.45 / $398.36	Professional		$219.05	$262.45	$398.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $92.17 / $108.39 / $164.13	Professional	26	$92.17	$108.39	$164.13
United Facility/Professional Professional Modifier Low / Median / High Price $82.71 / $82.72 / $385.77	Professional		$82.71	$82.72	$385.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $54.80 / $162.33	Professional	26	$34.64	$54.80	$162.33