Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $100.82 / $100.82 / $111.23	Facility	26	$100.82	$100.82	$111.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.26 / $75.17 / $161.97	Professional		$59.26	$75.17	$161.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.90 / $52.67 / $111.23	Professional	26	$40.90	$52.67	$111.23
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.39 / $131.91 / $176.09	Professional		$79.39	$131.91	$176.09
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.68 / $93.05 / $124.20	Professional	26	$56.68	$93.05	$124.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.68 / $150.83 / $172.42	Professional		$115.68	$150.83	$172.42
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $78.84 / $102.80 / $116.29	Professional	26	$78.84	$102.80	$116.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $124.16 / $205.82	Professional		$103.54	$124.16	$205.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $70.98 / $86.04 / $141.11	Professional	26	$70.98	$86.04	$141.11
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $58.08 / $85.98 / $88.44	Facility	26	$58.08	$85.98	$88.44
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $52.26 / $66.33 / $88.44	Professional	26	$52.26	$66.33	$88.44
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $50.53 / $50.53 / $50.53	Facility	26	$50.53	$50.53	$50.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $139.15 / $175.47	Professional		$85.50	$139.15	$175.47
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $58.89 / $94.05 / $124.20	Professional	26	$58.89	$94.05	$124.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $367.45 / $367.45 / $367.45	Facility	26	$367.45	$367.45	$367.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $128.63 / $182.87	Professional		$99.01	$128.63	$182.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.72 / $88.10 / $125.07	Professional	26	$67.72	$88.10	$125.07
United Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $135.27 / $194.11	Professional		$97.20	$135.27	$194.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.19 / $96.19 / $139.12	Professional	26	$67.19	$96.19	$139.12