Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $968.49 / $1,146.28 / $2,334.42	Facility	26	$968.49	$1,146.28	$2,334.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $851.91 / $2,307.50	Professional		$740.75	$851.91	$2,307.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $491.36 / $546.23 / $1,146.28	Professional	26	$491.36	$546.23	$1,146.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,216.27 / $1,934.43 / $2,558.30	Professional		$1,216.27	$1,934.43	$2,558.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $687.96 / $980.80 / $1,347.23	Professional	26	$687.96	$980.80	$1,347.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,856.02 / $2,186.69 / $2,514.01	Professional		$1,856.02	$2,186.69	$2,514.01
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $895.22 / $1,074.03 / $1,212.58	Professional	26	$895.22	$1,074.03	$1,212.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,279.58 / $1,588.37 / $2,770.29	Professional		$1,279.58	$1,588.37	$2,770.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $744.53 / $1,038.50 / $1,480.03	Professional	26	$744.53	$1,038.50	$1,480.03
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $623.07 / $881.05 / $1,024.42	Facility	26	$623.07	$881.05	$1,024.42
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $490.08 / $490.08 / $544.53	Professional		$490.08	$490.08	$544.53
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $517.60 / $823.04 / $1,245.16	Professional	26	$517.60	$823.04	$1,245.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,300.35 / $1,941.39 / $2,591.62	Professional		$1,300.35	$1,941.39	$2,591.62
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $607.92 / $882.08 / $1,264.11	Professional	26	$607.92	$882.08	$1,264.11
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 $1,630.91 / $2,121.54 / $2,581.94	Professional		$1,630.91	$2,121.54	$2,581.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $861.84 / $1,063.81 / $1,296.18	Professional	26	$861.84	$1,063.81	$1,296.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,063.63 / $1,107.95 / $2,899.14	Professional		$1,063.63	$1,107.95	$2,899.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $593.23 / $792.15 / $1,455.43	Professional	26	$593.23	$792.15	$1,455.43