Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $57.54 / $104.71 / $112.20	Facility	26	$57.54	$104.71	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $109.65	Professional		$57.54	$67.61	$109.65
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $45.71 / $70.79	Professional	26	$39.81	$45.71	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $181.97	Professional		$69.18	$123.03	$181.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $85.11 / $125.89	Professional	26	$46.77	$85.11	$125.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $173.78	Professional		$112.20	$138.04	$173.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $117.49	Professional	26	$77.62	$95.50	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $125.89 / $190.55	Professional		$69.18	$125.89	$190.55
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $47.86 / $93.33 / $131.83	Professional	26	$47.86	$93.33	$131.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $85.11 / $89.13	Facility	26	$72.44	$85.11	$89.13
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $72.44 / $89.13	Professional	26	$52.48	$72.44	$89.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.72 / $50.12 / $72.44	Facility	26	$10.72	$50.12	$72.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $177.83	Professional		$95.50	$134.90	$177.83
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $128.82	Professional	26	$53.70	$91.20	$128.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	26	$371.54	$371.54	$371.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $173.78	Professional		$95.50	$125.89	$173.78
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $87.10 / $120.23	Professional	26	$66.07	$87.10	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $186.21	Professional		$77.62	$123.03	$186.21
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $89.13 / $128.82	Professional	26	$54.95	$89.13	$128.82