Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $346.74 / $616.60 / $660.69	Facility	26	$346.74	$616.60	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,238.72	Professional		$977.24	$1,318.26	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $2,951.21	Professional		$1,288.25	$2,290.87	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $2,630.27	Professional		$1,047.13	$2,089.30	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $275.42 / $562.34 / $691.83	Professional	26	$275.42	$562.34	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,090.30	Professional		$1,584.89	$2,041.74	$3,090.30
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $524.81 / $549.54	Facility	26	$446.68	$524.81	$549.54
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,570.40	Professional		$2,454.71	$2,454.71	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,238.72 / $2,951.21	Professional		$1,479.11	$2,238.72	$2,951.21
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility	26	$9,549.93	$9,549.93	$9,549.93
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,090.30	Professional		$1,905.46	$2,344.23	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,884.03	Professional		$1,479.11	$2,089.30	$2,884.03