Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.82 / $43.82 / $48.40	Facility	26	$43.82	$43.82	$48.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $97.53 / $214.98	Professional		$59.75	$97.53	$214.98
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $200.69 / $274.37	Professional		$100.74	$200.69	$274.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.81 / $213.58 / $248.10	Professional		$163.81	$213.58	$248.10
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $34.17 / $44.56 / $50.24	Professional	26	$34.17	$44.56	$50.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $158.72 / $279.95	Professional		$98.54	$158.72	$279.95
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $36.97 / $38.86	Facility	26	$27.62	$36.97	$38.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $22.16 / $22.16 / $22.16	Facility	26	$22.16	$22.16	$22.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $199.79 / $266.85	Professional		$125.93	$199.79	$266.85
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 $147.22 / $191.29 / $271.93	Professional		$147.22	$191.29	$271.93
United Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $187.25 / $296.74	Professional		$140.91	$187.25	$296.74