Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $912.01 / $977.24	Facility	26	$512.86	$912.01	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,019.95	Professional		$1,348.96	$1,819.70	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $4,073.80	Professional		$1,819.70	$3,090.30	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,818.38 / $3,548.13	Professional		$1,445.44	$2,818.38	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $407.38 / $831.76 / $1,023.29	Professional	26	$407.38	$831.76	$1,023.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,168.69	Professional		$2,187.76	$2,818.38	$4,168.69
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $776.25 / $812.83	Facility	26	$660.69	$776.25	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $3,981.07	Professional		$2,089.30	$3,019.95	$3,981.07
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 $2,570.40 / $3,162.28 / $4,265.80	Professional		$2,570.40	$3,162.28	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $4,073.80	Professional		$2,089.30	$2,884.03	$4,073.80