Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.23 / $46.23 / $50.97	Facility	26	$46.23	$46.23	$50.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.86 / $56.15 / $127.68	Professional		$32.86	$56.15	$127.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $23.48 / $50.97	Professional	26	$19.12	$23.48	$50.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.37 / $88.65 / $150.46	Professional		$43.37	$88.65	$150.46
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.25 / $41.49 / $62.76	Professional	26	$25.25	$41.49	$62.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.04 / $112.83 / $135.58	Professional		$92.04	$112.83	$135.58
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $37.24 / $43.80 / $52.55	Professional	26	$37.24	$43.80	$52.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $77.04 / $131.69	Professional		$48.14	$77.04	$131.69
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $26.64 / $36.50 / $62.01	Professional	26	$26.64	$36.50	$62.01
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.89 / $40.24 / $41.48	Facility	26	$29.89	$40.24	$41.48
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $24.52 / $34.77 / $44.53	Professional	26	$24.52	$34.77	$44.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $99.07 / $135.52	Professional		$58.74	$99.07	$135.52
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.27 / $40.20 / $55.62	Professional	26	$25.27	$40.20	$55.62
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 $59.12 / $101.97 / $136.43	Professional		$59.12	$101.97	$136.43
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $24.67 / $43.05 / $56.12	Professional	26	$24.67	$43.05	$56.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $87.62 / $136.94	Professional		$55.51	$87.62	$136.94
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.06 / $42.69 / $62.51	Professional	26	$28.06	$42.69	$62.51