Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.77 / $116.77 / $129.74	Facility	26	$116.77	$116.77	$129.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $102.43 / $240.01	Professional		$87.70	$102.43	$240.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.65 / $194.79 / $265.51	Professional		$122.65	$194.79	$265.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.08 / $206.11 / $236.16	Professional		$158.08	$206.11	$236.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $91.51 / $119.32 / $134.62	Professional	26	$91.51	$119.32	$134.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.44 / $171.44 / $271.44	Professional		$141.44	$171.44	$271.44
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $102.41 / $103.85	Facility	26	$74.13	$102.41	$103.85
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.27 / $59.27 / $59.27	Facility	26	$59.27	$59.27	$59.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $195.16 / $254.88	Professional		$123.78	$195.16	$254.88
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 $144.18 / $182.67 / $252.98	Professional		$144.18	$182.67	$252.98
United Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $195.11 / $281.42	Professional		$138.21	$195.11	$281.42