Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $354.81 / $588.84 / $724.44	Facility	26	$354.81	$588.84	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,023.29 / $2,290.87	Professional		$831.76	$1,023.29	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,995.26 / $2,691.53	Professional		$1,288.25	$1,995.26	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,137.96 / $2,511.89	Professional		$1,000.00	$2,137.96	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $295.12 / $645.65 / $741.31	Professional	26	$295.12	$645.65	$741.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $2,951.21	Professional		$1,445.44	$2,089.30	$2,951.21
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $537.03 / $562.34	Facility	26	$446.68	$537.03	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $2,630.27	Professional		$1,412.54	$1,949.84	$2,630.27
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility	26	$2,398.83	$2,398.83	$2,398.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,398.83	Professional		$1,621.81	$1,862.09	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $2,630.27	Professional		$1,096.48	$1,174.90	$2,630.27