Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $67.61 / $123.03 / $131.83	Facility	26	$67.61	$123.03	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $223.87	Professional		$83.18	$100.00	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $263.03	Professional		$102.33	$177.83	$263.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $239.88	Professional		$169.82	$204.17	$239.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $114.82 / $134.90	Professional	26	$95.50	$114.82	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $177.83 / $234.42	Professional		$104.71	$177.83	$234.42
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $85.11 / $102.33 / $104.71	Facility	26	$85.11	$102.33	$104.71
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $12.59 / $58.88 / $83.18	Facility	26	$12.59	$58.88	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $257.04	Professional		$131.83	$186.21	$257.04
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 $144.54 / $186.21 / $245.47	Professional		$144.54	$186.21	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $275.42	Professional		$112.20	$186.21	$275.42