Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.27 / $92.27 / $101.87	Facility	26	$92.27	$92.27	$101.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $103.34 / $266.48	Professional		$80.29	$103.34	$266.48
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.86 / $221.89 / $303.04	Professional		$120.86	$221.89	$303.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.36 / $242.98 / $280.37	Professional		$186.36	$242.98	$280.37
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.51 / $94.55 / $106.58	Professional	26	$72.51	$94.55	$106.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $181.08 / $313.35	Professional		$121.44	$181.08	$313.35
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $57.66 / $79.56 / $81.73	Facility	26	$57.66	$79.56	$81.73
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $46.68 / $46.68 / $46.68	Facility	26	$46.68	$46.68	$46.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.94 / $224.00 / $294.74	Professional		$136.94	$224.00	$294.74
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $459.43 / $459.43 / $459.43	Facility	26	$459.43	$459.43	$459.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $164.16 / $213.28 / $303.20	Professional		$164.16	$213.28	$303.20
United Facility/Professional Professional Modifier Low / Median / High Price $155.55 / $212.15 / $331.52	Professional		$155.55	$212.15	$331.52