Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $366.61 / $447.39 / $506.59	Facility	26	$366.61	$447.39	$506.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $1,288.84 / $4,248.00	Professional		$886.22	$1,288.84	$4,248.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $232.32 / $317.95 / $992.00	Professional	26	$232.32	$317.95	$992.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,101.02 / $2,062.48 / $2,629.56	Professional		$1,101.02	$2,062.48	$2,629.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $317.25 / $515.99 / $684.43	Professional	26	$317.25	$515.99	$684.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,388.19 / $2,015.68 / $2,354.35	Professional		$1,388.19	$2,015.68	$2,354.35
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $365.10 / $516.14 / $587.55	Professional	26	$365.10	$516.14	$587.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.12 / $1,822.11 / $2,741.52	Professional		$1,379.12	$1,822.11	$2,741.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.46 / $529.05 / $738.43	Professional	26	$371.46	$529.05	$738.43
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $339.63 / $444.75 / $484.25	Facility	26	$339.63	$444.75	$484.25
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,835.73 / $2,039.70 / $2,039.70	Professional		$1,835.73	$2,039.70	$2,039.70
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $280.39 / $420.60 / $501.60	Professional	26	$280.39	$420.60	$501.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,550.45 / $2,168.80 / $2,792.33	Professional		$1,550.45	$2,168.80	$2,792.33
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $317.55 / $515.99 / $684.43	Professional	26	$317.55	$515.99	$684.43
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 $1,716.54 / $2,193.46 / $2,889.38	Professional		$1,716.54	$2,193.46	$2,889.38
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $438.79 / $560.71 / $738.60	Professional	26	$438.79	$560.71	$738.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,350.45 / $1,854.93 / $2,884.22	Professional		$1,350.45	$1,854.93	$2,884.22
United Facility/Professional Professional Modifier 26 Low / Median / High Price $367.29 / $536.61 / $730.43	Professional	26	$367.29	$536.61	$730.43