Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.14 / $21.20 / $23.38	Facility	26	$13.14	$21.20	$23.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $62.57 / $133.47	Professional		$47.05	$62.57	$133.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $105.82 / $140.36	Professional		$58.60	$105.82	$140.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.79 / $103.21 / $130.83	Professional		$91.79	$103.21	$130.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.07 / $19.89 / $23.66	Professional	26	$17.07	$19.89	$23.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $89.90 / $142.32	Professional		$65.20	$89.90	$142.32
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $13.72 / $18.46 / $19.43	Facility	26	$13.72	$18.46	$19.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $104.40 / $133.09	Professional		$70.54	$104.40	$133.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $838.61 / $838.61 / $838.61	Facility	26	$838.61	$838.61	$838.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.20 / $103.66 / $132.65	Professional		$61.20	$103.66	$132.65
United Facility/Professional Professional Modifier Low / Median / High Price $72.48 / $103.64 / $146.60	Professional		$72.48	$103.64	$146.60