Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $54.95 / $95.50 / $102.33	Facility	26	$54.95	$95.50	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $83.18 / $173.78	Professional		$64.57	$83.18	$173.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $47.86 / $102.33	Professional	26	$38.90	$47.86	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $144.54 / $223.87	Professional		$75.86	$144.54	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.77 / $77.62 / $120.23	Professional	26	$46.77	$77.62	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $199.53	Professional		$131.83	$162.18	$199.53
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $87.10 / $104.71	Professional	26	$69.18	$87.10	$104.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $194.98	Professional		$95.50	$134.90	$194.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.29 / $75.86 / $107.15	Professional	26	$51.29	$75.86	$107.15
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $66.07 / $81.28 / $83.18	Facility	26	$66.07	$81.28	$83.18
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $66.07 / $91.20	Professional	26	$50.12	$66.07	$91.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $151.36 / $208.93	Professional		$93.33	$151.36	$208.93
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $79.43 / $109.65	Professional	26	$50.12	$79.43	$109.65
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $125.89 / $125.89	Facility	26	$125.89	$125.89	$125.89
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $199.53	Professional		$95.50	$151.36	$199.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.48 / $85.11 / $109.65	Professional	26	$52.48	$85.11	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $199.53	Professional		$91.20	$138.04	$199.53
United Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $120.23	Professional	26	$54.95	$87.10	$120.23