Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $592.16 / $701.91 / $1,429.02	Facility	26	$592.16	$701.91	$1,429.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $887.79 / $1,187.45 / $2,470.75	Professional		$887.79	$1,187.45	$2,470.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,369.15 / $2,012.66 / $2,563.64	Professional		$1,369.15	$2,012.66	$2,563.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,837.03 / $2,149.64 / $2,488.28	Professional		$1,837.03	$2,149.64	$2,488.28
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $547.54 / $656.87 / $741.65	Professional	26	$547.54	$656.87	$741.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,431.36 / $1,607.12 / $2,912.34	Professional		$1,431.36	$1,607.12	$2,912.34
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $383.24 / $529.97 / $562.13	Facility	26	$383.24	$529.97	$562.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,519.84 / $2,082.69 / $2,654.94	Professional		$1,519.84	$2,082.69	$2,654.94
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,406.69 / $2,406.69 / $2,406.69	Facility	26	$2,406.69	$2,406.69	$2,406.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,617.61 / $2,105.86 / $2,534.56	Professional		$1,617.61	$2,105.86	$2,534.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,153.06 / $1,245.78 / $2,845.92	Professional		$1,153.06	$1,245.78	$2,845.92