Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.17 / $112.17 / $124.67	Facility	26	$112.17	$112.17	$124.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $122.29 / $525.00	Professional		$90.20	$122.29	$525.00
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.16 / $235.32 / $331.40	Professional		$136.16	$235.32	$331.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.16 / $258.38 / $297.61	Professional		$198.16	$258.38	$297.61
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $87.94 / $114.67 / $129.37	Professional	26	$87.94	$114.67	$129.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $203.00 / $331.05	Professional		$148.18	$203.00	$331.05
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $71.54 / $97.82 / $99.83	Facility	26	$71.54	$97.82	$99.83
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $56.98 / $56.98 / $56.98	Facility	26	$56.98	$56.98	$56.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.80 / $241.54 / $316.60	Professional		$151.80	$241.54	$316.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.01 / $354.01 / $354.01	Facility	26	$354.01	$354.01	$354.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $230.01 / $317.41	Professional		$171.86	$230.01	$317.41
United Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $247.85 / $353.08	Professional		$170.51	$247.85	$353.08