Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.02 / $21.88 / $23.44	Facility	26	$12.02	$21.88	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $114.82	Professional		$43.65	$57.54	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $134.90	Professional		$58.88	$93.33	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $131.83	Professional		$87.10	$107.15	$131.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $20.42 / $24.55	Professional	26	$15.85	$20.42	$24.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $138.04	Professional		$66.07	$95.50	$138.04
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $15.49 / $18.62 / $19.50	Facility	26	$15.49	$18.62	$19.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $131.83	Professional		$72.44	$104.71	$131.83
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $831.76 / $831.76 / $831.76	Facility	26	$831.76	$831.76	$831.76
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $128.82	Professional		$74.13	$100.00	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $147.91	Professional		$64.57	$102.33	$147.91