Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $437.32 / $437.32 / $655.66	Facility	26	$437.32	$437.32	$655.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $980.03 / $1,522.40 / $4,571.60	Professional		$980.03	$1,522.40	$4,571.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.75 / $2,292.87 / $2,949.99	Professional		$1,288.75	$2,292.87	$2,949.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.99 / $2,248.88 / $2,624.88	Professional		$1,548.99	$2,248.88	$2,624.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $426.10 / $602.41 / $685.76	Professional	26	$426.10	$602.41	$685.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,539.78 / $2,034.38 / $3,060.90	Professional		$1,539.78	$2,034.38	$3,060.90
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $418.46 / $519.07 / $559.00	Facility	26	$418.46	$519.07	$559.00
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $3,060.71 / $3,060.71 / $3,060.71	Professional		$3,060.71	$3,060.71	$3,060.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,746.14 / $2,416.00 / $3,110.60	Professional		$1,746.14	$2,416.00	$3,110.60
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 $1,912.19 / $2,443.48 / $3,218.72	Professional		$1,912.19	$2,443.48	$3,218.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,505.00 / $2,130.46 / $3,212.96	Professional		$1,505.00	$2,130.46	$3,212.96