Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.47 / $137.47 / $153.10	Facility	26	$137.47	$137.47	$153.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.34 / $138.21 / $325.86	Professional		$108.34	$138.21	$325.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.41 / $281.20 / $396.11	Professional		$149.41	$281.20	$396.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.43 / $292.62 / $336.71	Professional		$224.43	$292.62	$336.71
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $106.92 / $139.41 / $157.36	Professional	26	$106.92	$139.41	$157.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $157.47 / $232.50 / $397.86	Professional		$157.47	$232.50	$397.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $87.69 / $119.76 / $122.61	Facility	26	$87.69	$119.76	$122.61
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $69.97 / $69.97 / $69.97	Facility	26	$69.97	$69.97	$69.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $293.61 / $387.36	Professional		$181.47	$293.61	$387.36
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 $213.41 / $277.26 / $394.16	Professional		$213.41	$277.26	$394.16
United Facility/Professional Professional Modifier Low / Median / High Price $208.00 / $278.24 / $430.97	Professional		$208.00	$278.24	$430.97