Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.81 / $27.81 / $30.70	Facility	26	$27.81	$27.81	$30.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.99 / $63.31 / $147.80	Professional		$50.99	$63.31	$147.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $110.29 / $149.22	Professional		$63.99	$110.29	$149.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $112.81 / $143.00	Professional		$100.62	$112.81	$143.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $22.43 / $26.12 / $31.07	Professional	26	$22.43	$26.12	$31.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $97.11 / $138.00	Professional		$71.76	$97.11	$138.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $17.64 / $24.12 / $24.79	Facility	26	$17.64	$24.12	$24.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $112.48 / $144.44	Professional		$74.58	$112.48	$144.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $459.43 / $459.43 / $459.43	Facility	26	$459.43	$459.43	$459.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $68.84 / $112.49 / $148.76	Professional		$68.84	$112.49	$148.76
United Facility/Professional Professional Modifier Low / Median / High Price $75.51 / $105.71 / $155.85	Professional		$75.51	$105.71	$155.85