Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $152.81 / $203.59 / $223.97	Facility	26	$152.81	$203.59	$223.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.09 / $187.48 / $388.47	Professional		$158.09	$187.48	$388.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.23 / $321.29 / $477.92	Professional		$185.23	$321.29	$477.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.72 / $365.64 / $438.66	Professional		$300.72	$365.64	$438.66
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $164.42 / $193.55 / $232.21	Professional	26	$164.42	$193.55	$232.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.84 / $278.50 / $397.85	Professional		$214.84	$278.50	$397.85
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $129.85 / $177.67 / $188.36	Facility	26	$129.85	$177.67	$188.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $321.18 / $426.36	Professional		$215.10	$321.18	$426.36
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,497.68 / $1,497.68 / $1,497.68	Facility	26	$1,497.68	$1,497.68	$1,497.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $189.71 / $329.51 / $433.34	Professional		$189.71	$329.51	$433.34
United Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $314.99 / $465.11	Professional		$216.00	$314.99	$465.11