Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $16.98 / $31.62 / $35.48	Facility	26	$16.98	$31.62	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $128.82	Professional		$44.67	$60.26	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $95.50 / $144.54	Professional		$57.54	$95.50	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $147.91	Professional		$97.72	$123.03	$147.91
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $23.99 / $30.90 / $37.15	Professional	26	$23.99	$30.90	$37.15
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $21.88 / $21.88 / $21.88	Facility	26	$21.88	$21.88	$21.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $131.83	Professional		$72.44	$100.00	$131.83
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $20.42 / $26.92 / $27.54	Facility	26	$20.42	$26.92	$27.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $138.04	Professional		$72.44	$107.15	$138.04
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $134.90	Professional		$79.43	$102.33	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $144.54	Professional		$63.10	$102.33	$144.54