Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $245.47 / $263.03	Facility	26	$134.90	$245.47	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $436.52	Professional		$190.55	$239.88	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $691.83	Professional		$229.09	$426.58	$691.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $616.60	Professional		$426.58	$524.81	$616.60
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $186.21 / $229.09 / $269.15	Professional	26	$186.21	$229.09	$269.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $588.84	Professional		$275.42	$436.52	$588.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $169.82 / $204.17 / $208.93	Facility	26	$169.82	$204.17	$208.93
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $81.28	Professional		$72.44	$72.44	$81.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $645.65	Professional		$309.03	$467.74	$645.65
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $457.09 / $457.09 / $457.09	Facility	26	$457.09	$457.09	$457.09
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $478.63 / $630.96	Professional		$331.13	$478.63	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $478.63 / $707.95	Professional		$223.87	$478.63	$707.95