Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $304.07 / $531.34 / $698.59	Facility	26	$304.07	$531.34	$698.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $603.00 / $1,459.50	Professional		$400.00	$603.00	$1,459.50
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.96 / $920.03 / $1,421.05	Professional		$468.96	$920.03	$1,421.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.99 / $985.39 / $1,154.97	Professional		$842.99	$985.39	$1,154.97
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $266.66 / $307.33 / $358.49	Professional	26	$266.66	$307.33	$358.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $681.55 / $877.20 / $1,354.84	Professional		$681.55	$877.20	$1,354.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $217.19 / $274.87 / $282.88	Facility	26	$217.19	$274.87	$282.88
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $481.07 / $532.79 / $866.20	Professional		$481.07	$532.79	$866.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $159.58 / $159.58 / $159.58	Facility	26	$159.58	$159.58	$159.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $732.23 / $1,058.40 / $1,317.26	Professional		$732.23	$1,058.40	$1,317.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,298.07 / $2,298.07 / $2,298.07	Facility	26	$2,298.07	$2,298.07	$2,298.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $791.82 / $1,038.90 / $1,253.54	Professional		$791.82	$1,038.90	$1,253.54
United Facility/Professional Professional Modifier Low / Median / High Price $429.46 / $680.38 / $1,423.79	Professional		$429.46	$680.38	$1,423.79