Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $177.83 / $213.80	Facility	26	$114.82	$177.83	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,584.89	Professional		$575.44	$724.44	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $1,949.84	Professional		$676.08	$977.24	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,348.96 / $1,584.89	Professional		$691.83	$1,348.96	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $177.83 / $194.98	Professional	26	$83.18	$177.83	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,995.26	Professional		$1,023.29	$1,479.11	$1,995.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $165.96 / $165.96	Facility	26	$138.04	$165.96	$165.96
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,445.44 / $1,905.46	Professional		$676.08	$1,445.44	$1,905.46
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility	26	$4,265.80	$4,265.80	$4,265.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,659.59	Professional		$1,230.27	$1,412.54	$1,659.59
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $707.95 / $2,089.30	Professional		$616.60	$707.95	$2,089.30