Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.57 / $49.57 / $52.96	Facility	26	$49.57	$49.57	$52.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $61.89 / $156.00	Professional		$34.07	$61.89	$156.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.44 / $24.11 / $58.64	Professional	26	$20.44	$24.11	$58.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $93.00 / $153.41	Professional		$44.43	$93.00	$153.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.97 / $44.86 / $67.91	Professional	26	$25.97	$44.86	$67.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.11 / $115.36 / $138.56	Professional		$94.11	$115.36	$138.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $39.29 / $46.29 / $55.53	Professional	26	$39.29	$46.29	$55.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $55.79 / $82.19 / $134.49	Professional		$55.79	$82.19	$134.49
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.95 / $38.29 / $66.09	Professional	26	$27.95	$38.29	$66.09
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $31.85 / $42.09 / $44.22	Facility	26	$31.85	$42.09	$44.22
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $36.47 / $45.57	Professional	26	$26.53	$36.47	$45.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $104.14 / $142.40	Professional		$61.74	$104.14	$142.40
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $26.55 / $43.29 / $60.32	Professional	26	$26.55	$43.29	$60.32
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $106.64 / $143.52	Professional		$63.68	$106.64	$143.52
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $26.44 / $44.57 / $60.70	Professional	26	$26.44	$44.57	$60.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.48 / $91.12 / $146.66	Professional		$58.48	$91.12	$146.66
United Facility/Professional Professional Modifier 26 Low / Median / High Price $30.06 / $45.55 / $67.34	Professional	26	$30.06	$45.55	$67.34