Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $51.69 / $51.69 / $56.30	Facility	26	$51.69	$51.69	$56.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.67 / $145.41 / $224.10	Professional		$116.67	$145.41	$224.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $25.36 / $34.24	Professional	26	$22.30	$25.36	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.79 / $318.83 / $449.62	Professional		$170.79	$318.83	$449.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.92 / $48.03 / $73.05	Professional	26	$26.92	$48.03	$73.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.95 / $321.60 / $394.16	Professional		$275.95	$321.60	$394.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.83 / $49.76 / $57.12	Professional	26	$41.83	$49.76	$57.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $277.12 / $459.40	Professional		$231.10	$277.12	$459.40
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $47.89 / $72.16	Professional	26	$36.29	$47.89	$72.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.86 / $44.01 / $47.57	Facility	26	$29.86	$44.01	$47.57
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $55.14 / $55.14	Professional		$55.14	$55.14	$55.14
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $27.74 / $34.67 / $46.23	Professional	26	$27.74	$34.67	$46.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.10 / $338.77 / $430.35	Professional		$275.10	$338.77	$430.35
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $32.15 / $50.40 / $67.04	Professional	26	$32.15	$50.40	$67.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $377.73 / $377.73 / $377.73	Facility	26	$377.73	$377.73	$377.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $280.50 / $358.43 / $421.62	Professional		$280.50	$358.43	$421.62
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.33 / $56.61 / $67.81	Professional	26	$44.33	$56.61	$67.81
United Facility/Professional Professional Modifier Low / Median / High Price $173.24 / $297.16 / $451.68	Professional		$173.24	$297.16	$451.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.98 / $48.28 / $73.38	Professional	26	$26.98	$48.28	$73.38