Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.81 / $72.44 / $77.62	Facility	26	$39.81	$72.44	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $85.11 / $144.54	Professional		$72.44	$85.11	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $239.88	Professional		$87.10	$154.88	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $218.78	Professional		$151.36	$190.55	$218.78
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $67.61 / $81.28	Professional	26	$56.23	$67.61	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $158.49 / $213.80	Professional		$97.72	$158.49	$213.80
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $50.12 / $60.26 / $61.66	Facility	26	$50.12	$60.26	$61.66
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $7.41 / $34.67 / $50.12	Facility	26	$7.41	$34.67	$50.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $229.09	Professional		$114.82	$165.96	$229.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	26	$354.81	$354.81	$354.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $165.96 / $223.87	Professional		$125.89	$165.96	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $239.88	Professional		$83.18	$158.49	$239.88