Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $573.15 / $587.87 / $793.58	Facility	26	$573.15	$587.87	$793.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.18 / $1,781.34 / $3,287.05	Professional		$1,260.18	$1,781.34	$3,287.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $360.94 / $487.26 / $1,610.00	Professional	26	$360.94	$487.26	$1,610.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.24 / $2,825.05 / $3,633.66	Professional		$1,584.24	$2,825.05	$3,633.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $497.73 / $806.00 / $1,069.92	Professional	26	$497.73	$806.00	$1,069.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,907.66 / $2,768.56 / $3,227.17	Professional		$1,907.66	$2,768.56	$3,227.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $571.84 / $808.44 / $920.30	Professional	26	$571.84	$808.44	$920.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,897.90 / $2,507.52 / $3,772.79	Professional		$1,897.90	$2,507.52	$3,772.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $582.29 / $829.32 / $1,157.51	Professional	26	$582.29	$829.32	$1,157.51
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $555.66 / $696.60 / $744.60	Facility	26	$555.66	$696.60	$744.60
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $1,835.73 / $2,039.70 / $3,462.21	Professional		$1,835.73	$2,039.70	$3,462.21
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $440.19 / $591.29 / $759.26	Professional	26	$440.19	$591.29	$759.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,149.40 / $2,977.60 / $3,833.66	Professional		$2,149.40	$2,977.60	$3,833.66
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $496.04 / $806.00 / $1,069.92	Professional	26	$496.04	$806.00	$1,069.92
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 $2,356.67 / $3,011.47 / $3,966.91	Professional		$2,356.67	$3,011.47	$3,966.91
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $687.63 / $878.68 / $1,157.46	Professional	26	$687.63	$878.68	$1,157.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,904.76 / $2,564.10 / $3,922.98	Professional		$1,904.76	$2,564.10	$3,922.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $566.89 / $816.49 / $1,155.38	Professional	26	$566.89	$816.49	$1,155.38