Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $331.32 / $331.32 / $364.27	Facility	26	$331.32	$331.32	$364.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.43 / $210.31 / $378.60	Professional		$171.43	$210.31	$378.60
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.09 / $167.09 / $167.09	Facility	26	$167.09	$167.09	$167.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.01 / $393.72 / $554.78	Professional		$232.01	$393.72	$554.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.39 / $422.96 / $479.92	Professional		$324.39	$422.96	$479.92
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $256.01 / $333.60 / $375.60	Professional	26	$256.01	$333.60	$375.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $339.76 / $553.04	Professional		$265.89	$339.76	$553.04
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $205.80 / $286.39 / $294.13	Facility	26	$205.80	$286.39	$294.13
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $167.09 / $167.09 / $167.09	Facility	26	$167.09	$167.09	$167.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $266.27 / $414.42 / $554.78	Professional		$266.27	$414.42	$554.78
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 $317.52 / $394.80 / $557.13	Professional		$317.52	$394.80	$557.13
United Facility/Professional Professional Modifier Low / Median / High Price $299.30 / $403.44 / $609.17	Professional		$299.30	$403.44	$609.17