Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.18 / $71.18 / $78.39	Facility	26	$71.18	$71.18	$78.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.31 / $99.64 / $156.94	Professional		$85.31	$99.64	$156.94
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.14 / $34.57 / $91.67	Professional	26	$31.14	$34.57	$91.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $180.67 / $255.80	Professional		$103.34	$180.67	$255.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.93 / $62.15 / $88.00	Professional	26	$34.93	$62.15	$88.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.00 / $190.56 / $226.63	Professional		$170.00	$190.56	$226.63
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $57.25 / $66.69 / $79.31	Professional	26	$57.25	$66.69	$79.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $164.71 / $262.29	Professional		$119.63	$164.71	$262.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.11 / $58.96 / $98.66	Professional	26	$42.11	$58.96	$98.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $40.90 / $61.86 / $63.65	Facility	26	$40.90	$61.86	$63.65
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $37.11 / $51.15 / $62.31	Professional	26	$37.11	$51.15	$62.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.04 / $188.10 / $242.65	Professional		$126.04	$188.10	$242.65
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $36.38 / $64.84 / $88.00	Professional	26	$36.38	$64.84	$88.00
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 $105.74 / $191.44 / $246.35	Professional		$105.74	$191.44	$246.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $38.02 / $66.97 / $88.12	Professional	26	$38.02	$66.97	$88.12
United Facility/Professional Professional Modifier Low / Median / High Price $123.84 / $180.60 / $266.67	Professional		$123.84	$180.60	$266.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.60 / $64.61 / $96.36	Professional	26	$45.60	$64.61	$96.36