Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.42 / $89.42 / $125.23	Facility	26	$89.42	$89.42	$125.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.02 / $380.26 / $879.14	Professional		$316.02	$380.26	$879.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.96 / $72.70 / $196.00	Professional	26	$50.96	$72.70	$196.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.80 / $702.84 / $979.79	Professional		$401.80	$702.84	$979.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $110.76 / $159.40	Professional	26	$69.87	$110.76	$159.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $628.65 / $819.67 / $954.26	Professional		$628.65	$819.67	$954.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.02 / $127.80 / $144.19	Professional	26	$98.02	$127.80	$144.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $378.84 / $623.54 / $1,033.41	Professional		$378.84	$623.54	$1,033.41
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $80.55 / $99.35 / $176.14	Professional	26	$80.55	$99.35	$176.14
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $79.45 / $108.54 / $111.89	Facility	26	$79.45	$108.54	$111.89
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $71.55 / $92.26 / $118.82	Professional	26	$71.55	$92.26	$118.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $63.88 / $63.88 / $63.88	Facility	26	$63.88	$63.88	$63.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $450.56 / $744.07 / $961.08	Professional		$450.56	$744.07	$961.08
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $70.84 / $116.64 / $159.40	Professional	26	$70.84	$116.64	$159.40
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 $529.41 / $687.83 / $977.82	Professional		$529.41	$687.83	$977.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.10 / $109.97 / $156.34	Professional	26	$89.10	$109.97	$156.34
United Facility/Professional Professional Modifier Low / Median / High Price $483.08 / $763.17 / $1,036.01	Professional		$483.08	$763.17	$1,036.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.29 / $121.74 / $175.53	Professional	26	$85.29	$121.74	$175.53