Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $241.33 / $241.33 / $275.91	Facility	26	$241.33	$241.33	$275.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.67 / $429.66 / $1,065.27	Professional		$349.67	$429.66	$1,065.27
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $127.80 / $127.80 / $127.80	Facility	26	$127.80	$127.80	$127.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.80 / $813.85 / $1,127.19	Professional		$485.80	$813.85	$1,127.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $690.58 / $900.42 / $1,041.02	Professional		$690.58	$900.42	$1,041.02
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $192.52 / $249.69 / $281.12	Professional	26	$192.52	$249.69	$281.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.16 / $714.84 / $1,160.13	Professional		$444.16	$714.84	$1,160.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $173.45 / $216.22 / $239.86	Facility	26	$173.45	$216.22	$239.86
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $127.80 / $127.80 / $127.80	Facility	26	$127.80	$127.80	$127.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $510.50 / $862.13 / $1,088.60	Professional		$510.50	$862.13	$1,088.60
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,497.68 / $1,497.68 / $1,497.68	Facility	26	$1,497.68	$1,497.68	$1,497.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $618.67 / $803.80 / $1,142.69	Professional		$618.67	$803.80	$1,142.69
United Facility/Professional Professional Modifier Low / Median / High Price $563.63 / $832.22 / $1,189.48	Professional		$563.63	$832.22	$1,189.48