Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.92 / $93.92 / $101.41	Facility	26	$93.92	$93.92	$101.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $91.61 / $200.86	Professional		$64.93	$91.61	$200.86
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.04 / $52.73 / $104.28	Professional	26	$39.04	$52.73	$104.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $147.63 / $224.86	Professional		$77.16	$147.63	$224.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.55 / $83.89 / $126.55	Professional	26	$47.55	$83.89	$126.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $167.97 / $201.52	Professional		$138.04	$167.97	$201.52
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.68 / $87.97 / $105.54	Professional	26	$74.68	$87.97	$105.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $126.48 / $197.37	Professional		$102.86	$126.48	$197.37
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.27 / $73.00 / $126.06	Professional	26	$53.27	$73.00	$126.06
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $60.08 / $80.70 / $83.08	Facility	26	$60.08	$80.70	$83.08
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $49.85 / $66.55 / $87.42	Professional	26	$49.85	$66.55	$87.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $151.77 / $203.81	Professional		$100.76	$151.77	$203.81
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $51.12 / $81.81 / $113.19	Professional	26	$51.12	$81.81	$113.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $127.19 / $127.19 / $127.19	Facility	26	$127.19	$127.19	$127.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $91.14 / $154.79 / $207.08	Professional		$91.14	$154.79	$207.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $85.57 / $113.12	Professional	26	$49.35	$85.57	$113.12
United Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $142.04 / $210.84	Professional		$97.92	$142.04	$210.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $60.48 / $85.98 / $125.95	Professional	26	$60.48	$85.98	$125.95