Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.11 / $8.11 / $9.00	Facility	26	$8.11	$8.11	$9.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $57.59 / $225.00	Professional		$47.43	$57.59	$225.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $100.02 / $135.43	Professional		$54.73	$100.02	$135.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $104.99 / $133.08	Professional		$92.56	$104.99	$133.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $6.57 / $7.66 / $9.11	Professional	26	$6.57	$7.66	$9.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $87.42 / $126.63	Professional		$61.88	$87.42	$126.63
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $5.33 / $7.10 / $7.37	Facility	26	$5.33	$7.10	$7.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $98.37 / $127.23	Professional		$68.81	$98.37	$127.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.17 / $107.17 / $107.17	Facility	26	$107.17	$107.17	$107.17
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $98.99 / $134.55	Professional		$59.14	$98.99	$134.55
United Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $100.10 / $151.07	Professional		$70.06	$100.10	$151.07