Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $43.37 / $43.37 / $47.86	Facility	26	$43.37	$43.37	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $83.49 / $191.26	Professional		$61.55	$83.49	$191.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.79 / $23.00 / $52.23	Professional	26	$18.79	$23.00	$52.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.93 / $144.83 / $215.03	Professional		$78.93	$144.83	$215.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.13 / $38.49 / $56.05	Professional	26	$23.13	$38.49	$56.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.84 / $154.88 / $185.81	Professional		$128.84	$154.88	$185.81
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $41.98 / $49.67	Professional	26	$35.34	$41.98	$49.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $125.86 / $185.06	Professional		$98.99	$125.86	$185.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $30.43 / $35.64 / $60.48	Professional	26	$30.43	$35.64	$60.48
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $27.62 / $37.70 / $38.86	Facility	26	$27.62	$37.70	$38.86
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $22.91 / $35.40 / $44.22	Professional	26	$22.91	$35.40	$44.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $149.82 / $207.14	Professional		$118.51	$149.82	$207.14
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $25.64 / $38.49 / $55.35	Professional	26	$25.64	$38.49	$55.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $135.57 / $168.86 / $218.32	Professional		$135.57	$168.86	$218.32
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $36.09 / $44.49 / $54.66	Professional	26	$36.09	$44.49	$54.66
United Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $151.88 / $222.75	Professional		$99.81	$151.88	$222.75
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.02 / $38.76 / $59.07	Professional	26	$29.02	$38.76	$59.07