Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $511.83 / $625.29 / $786.68	Facility	26	$511.83	$625.29	$786.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,118.21 / $1,605.78 / $2,963.01	Professional		$1,118.21	$1,605.78	$2,963.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $320.61 / $437.19 / $1,463.00	Professional	26	$320.61	$437.19	$1,463.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,470.77 / $2,542.40 / $3,275.54	Professional		$1,470.77	$2,542.40	$3,275.54
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $444.63 / $719.88 / $956.83	Professional	26	$444.63	$719.88	$956.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,719.76 / $2,495.82 / $2,909.80	Professional		$1,719.76	$2,495.82	$2,909.80
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $510.29 / $721.35 / $821.16	Professional	26	$510.29	$721.35	$821.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.57 / $2,284.19 / $3,400.41	Professional		$1,710.57	$2,284.19	$3,400.41
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $519.29 / $739.62 / $1,032.31	Professional	26	$519.29	$739.62	$1,032.31
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $474.81 / $621.62 / $665.60	Facility	26	$474.81	$621.62	$665.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,835.73 / $1,835.73 / $2,039.70	Professional		$1,835.73	$1,835.73	$2,039.70
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $392.00 / $583.67 / $690.90	Professional	26	$392.00	$583.67	$690.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,991.38 / $2,680.80 / $3,451.53	Professional		$1,991.38	$2,680.80	$3,451.53
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $443.03 / $719.88 / $956.83	Professional	26	$443.03	$719.88	$956.83
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 $2,121.77 / $2,711.29 / $3,571.50	Professional		$2,121.77	$2,711.29	$3,571.50
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $614.17 / $784.83 / $1,033.83	Professional	26	$614.17	$784.83	$1,033.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,721.21 / $2,455.71 / $3,531.95	Professional		$1,721.21	$2,455.71	$3,531.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $508.80 / $731.51 / $1,076.72	Professional	26	$508.80	$731.51	$1,076.72