Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.73 / $60.73 / $67.01	Facility	26	$60.73	$60.73	$67.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.38 / $171.98 / $391.77	Professional		$131.38	$171.98	$391.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.40 / $298.25 / $439.78	Professional		$155.40	$298.25	$439.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.55 / $330.60 / $384.14	Professional		$253.55	$330.60	$384.14
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $45.98 / $59.93 / $67.48	Professional	26	$45.98	$59.93	$67.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $260.42 / $446.67	Professional		$152.52	$260.42	$446.67
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $38.22 / $51.58 / $53.82	Facility	26	$38.22	$51.58	$53.82
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $30.71 / $30.71 / $30.71	Facility	26	$30.71	$30.71	$30.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $201.40 / $319.00 / $426.79	Professional		$201.40	$319.00	$426.79
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $838.61 / $838.61 / $838.61	Facility	26	$838.61	$838.61	$838.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $238.03 / $309.26 / $439.64	Professional		$238.03	$309.26	$439.64
United Facility/Professional Professional Modifier Low / Median / High Price $203.05 / $270.73 / $465.96	Professional		$203.05	$270.73	$465.96