Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.92 / $47.86 / $51.29	Facility	26	$26.92	$47.86	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $48.98 / $93.33	Professional		$33.11	$48.98	$93.33
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.05 / $22.91 / $43.65	Professional	26	$19.05	$22.91	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $93.33 / $151.36	Professional		$42.66	$93.33	$151.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $38.90 / $60.26	Professional	26	$23.99	$38.90	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $134.90	Professional		$91.20	$109.65	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $43.65 / $52.48	Professional	26	$34.67	$43.65	$52.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $125.89	Professional		$53.70	$79.43	$125.89
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $39.81 / $53.70	Professional	26	$25.70	$39.81	$53.70
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $39.81 / $41.69	Facility	26	$33.88	$39.81	$41.69
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $24.55 / $34.67 / $44.67	Professional	26	$24.55	$34.67	$44.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $97.72 / $138.04	Professional		$52.48	$97.72	$138.04
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $38.90 / $53.70	Professional	26	$25.70	$38.90	$53.70
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 $61.66 / $102.33 / $134.90	Professional		$61.66	$102.33	$134.90
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.70 / $41.69 / $54.95	Professional	26	$25.70	$41.69	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $85.11 / $131.83	Professional		$51.29	$85.11	$131.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $42.66 / $58.88	Professional	26	$26.92	$42.66	$58.88