Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.05 / $22.05 / $34.40	Facility	26	$22.05	$22.05	$34.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.72 / $66.98 / $150.12	Professional		$48.72	$66.98	$150.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $106.84 / $143.94	Professional		$58.68	$106.84	$143.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $108.67 / $137.76	Professional		$97.26	$108.67	$137.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $29.96 / $35.63	Professional	26	$25.72	$29.96	$35.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $94.24 / $124.82	Professional		$70.00	$94.24	$124.82
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $19.86 / $27.16 / $27.88	Facility	26	$19.86	$27.16	$27.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.78 / $107.58 / $136.53	Professional		$71.78	$107.58	$136.53
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.01 / $354.01 / $354.01	Facility	26	$354.01	$354.01	$354.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $107.36 / $137.38	Professional		$64.18	$107.36	$137.38
United Facility/Professional Professional Modifier Low / Median / High Price $69.59 / $105.95 / $151.59	Professional		$69.59	$105.95	$151.59