Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $79.43 / $144.54 / $154.88	Facility	26	$79.43	$144.54	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $218.78	Professional		$109.65	$141.25	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $245.47 / $398.11	Professional		$134.90	$245.47	$398.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $338.84	Professional		$229.09	$295.12	$338.84
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $134.90 / $158.49	Professional	26	$109.65	$134.90	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $331.13	Professional		$147.91	$239.88	$331.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $100.00 / $120.23 / $123.03	Facility	26	$100.00	$120.23	$123.03
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $14.79 / $69.18 / $97.72	Facility	26	$14.79	$69.18	$97.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $380.19	Professional		$181.97	$275.42	$380.19
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 $204.17 / $281.84 / $380.19	Professional		$204.17	$281.84	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $269.15 / $407.38	Professional		$131.83	$269.15	$407.38