Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.91 / $59.91 / $87.90	Facility	26	$59.91	$59.91	$87.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.84 / $213.65 / $606.36	Professional		$137.84	$213.65	$606.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $323.58 / $469.16	Professional		$171.00	$323.58	$469.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $290.75 / $338.84 / $413.48	Professional		$290.75	$338.84	$413.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $65.88 / $77.95 / $89.96	Professional	26	$65.88	$77.95	$89.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $264.33 / $472.74	Professional		$222.65	$264.33	$472.74
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $50.96 / $68.95 / $71.02	Facility	26	$50.96	$68.95	$71.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $250.90 / $343.83 / $450.10	Professional		$250.90	$343.83	$450.10
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $1,640.24 / $1,640.24	Facility	26	$1,640.24	$1,640.24	$1,640.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $282.72 / $363.71 / $440.59	Professional		$282.72	$363.71	$440.59
United Facility/Professional Professional Modifier Low / Median / High Price $171.46 / $310.11 / $481.75	Professional		$171.46	$310.11	$481.75