Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.96 / $206.34 / $279.20	Facility	26	$200.96	$206.34	$279.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $786.64 / $1,170.80 / $2,319.65	Professional		$786.64	$1,170.80	$2,319.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $956.77 / $1,987.40 / $2,520.23	Professional		$956.77	$1,987.40	$2,520.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.49 / $1,922.14 / $2,258.77	Professional		$1,321.49	$1,922.14	$2,258.77
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $201.30 / $284.89 / $324.32	Professional	26	$201.30	$284.89	$324.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,307.60 / $1,727.63 / $2,599.37	Professional		$1,307.60	$1,727.63	$2,599.37
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $184.11 / $245.22 / $270.51	Facility	26	$184.11	$245.22	$270.51
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,835.73 / $1,835.73 / $3,462.21	Professional		$1,835.73	$1,835.73	$3,462.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.51 / $2,080.00 / $2,678.00	Professional		$1,389.51	$2,080.00	$2,678.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,482.39 / $9,482.39 / $9,482.39	Facility	26	$9,482.39	$9,482.39	$9,482.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,646.26 / $2,092.28 / $2,771.08	Professional		$1,646.26	$2,092.28	$2,771.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.95 / $1,621.32 / $2,740.41	Professional		$1,220.95	$1,621.32	$2,740.41