Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.47 / $132.47 / $146.34	Facility	26	$132.47	$132.47	$146.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.25 / $189.54 / $441.24	Professional		$149.25	$189.54	$441.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.83 / $740.14 / $1,188.91	Professional		$377.83	$740.14	$1,188.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.36 / $746.27 / $915.05	Professional		$640.36	$746.27	$915.05
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $110.56 / $130.11 / $150.97	Professional	26	$110.56	$130.11	$150.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $534.25 / $620.79 / $1,062.03	Professional		$534.25	$620.79	$1,062.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $83.30 / $113.90 / $117.92	Facility	26	$83.30	$113.90	$117.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.66 / $839.47 / $1,110.22	Professional		$584.66	$839.47	$1,110.22
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $385.75 / $385.75 / $385.75	Facility	26	$385.75	$385.75	$385.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $632.12 / $910.50 / $1,120.89	Professional		$632.12	$910.50	$1,120.89
United Facility/Professional Professional Modifier Low / Median / High Price $368.05 / $666.59 / $1,054.02	Professional		$368.05	$666.59	$1,054.02