Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $3.98 / $8.51 / $9.12	Facility	26	$3.98	$8.51	$9.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $204.17	Professional		$40.74	$56.23	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $91.20 / $134.90	Professional		$54.95	$91.20	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $134.90	Professional		$91.20	$112.20	$134.90
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $5.89 / $7.59 / $9.12	Professional	26	$5.89	$7.59	$9.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $95.50 / $125.89	Professional		$66.07	$95.50	$125.89
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $6.03 / $7.08 / $7.41	Facility	26	$6.03	$7.08	$7.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $134.90	Professional		$69.18	$100.00	$134.90
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $128.82	Professional		$75.86	$95.50	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $95.50 / $138.04	Professional		$63.10	$95.50	$138.04