Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $531.27 / $531.27 / $578.09	Facility	26	$531.27	$531.27	$578.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.75 / $364.40 / $805.89	Professional		$254.75	$364.40	$805.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.31 / $550.75 / $814.24	Professional		$329.31	$550.75	$814.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $605.94 / $726.95	Professional		$508.63	$605.94	$726.95
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $423.87 / $498.90 / $598.54	Professional	26	$423.87	$498.90	$598.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $376.32 / $481.74 / $708.66	Professional		$376.32	$481.74	$708.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $336.63 / $458.05 / $475.32	Facility	26	$336.63	$458.05	$475.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $377.55 / $568.83 / $753.84	Professional		$377.55	$568.83	$753.84
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $882.62 / $882.62 / $882.62	Facility	26	$882.62	$882.62	$882.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $333.52 / $570.94 / $762.41	Professional		$333.52	$570.94	$762.41
United Facility/Professional Professional Modifier Low / Median / High Price $385.92 / $559.26 / $823.29	Professional		$385.92	$559.26	$823.29