Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.44 / $208.77 / $421.20	Facility	26	$179.44	$208.77	$421.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.67 / $1,007.04 / $3,167.67	Professional		$448.67	$1,007.04	$3,167.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $719.04 / $1,397.05 / $1,919.56	Professional		$719.04	$1,397.05	$1,919.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $668.79 / $1,490.93 / $1,595.35	Professional		$668.79	$1,490.93	$1,595.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $82.60 / $190.47 / $197.04	Professional	26	$82.60	$190.47	$197.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,011.40 / $1,262.35 / $2,010.54	Professional		$1,011.40	$1,262.35	$2,010.54
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $109.50 / $164.59 / $167.50	Facility	26	$109.50	$164.59	$167.50
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $752.05 / $752.05 / $752.05	Professional		$752.05	$752.05	$752.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $966.63 / $1,581.60 / $1,824.09	Professional		$966.63	$1,581.60	$1,824.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $4,287.53 / $4,287.53 / $4,287.53	Facility	26	$4,287.53	$4,287.53	$4,287.53
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,246.14 / $1,601.62 / $1,874.16	Professional		$1,246.14	$1,601.62	$1,874.16
United Facility/Professional Professional Modifier Low / Median / High Price $621.55 / $779.72 / $2,103.37	Professional		$621.55	$779.72	$2,103.37