Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $194.98 / $338.84 / $363.08	Facility	26	$194.98	$338.84	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $371.54	Professional		$169.82	$204.17	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $354.81 / $549.54	Professional		$208.93	$354.81	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $549.54	Professional		$380.19	$467.74	$549.54
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $331.13 / $389.05	Professional	26	$275.42	$331.13	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $380.19 / $512.86	Professional		$229.09	$380.19	$512.86
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $213.80 / $288.40 / $295.12	Facility	26	$213.80	$288.40	$295.12
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $35.48 / $165.96 / $234.42	Facility	26	$35.48	$165.96	$234.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $398.11 / $562.34	Professional		$269.15	$398.11	$562.34
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 $316.23 / $398.11 / $512.86	Professional		$316.23	$398.11	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $562.34	Professional		$204.17	$389.05	$562.34