Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $876.81 / $876.81 / $972.80	Facility	26	$876.81	$876.81	$972.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,370.97 / $1,975.83 / $6,389.03	Professional		$1,370.97	$1,975.83	$6,389.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,813.92 / $3,114.33 / $4,030.38	Professional		$1,813.92	$3,114.33	$4,030.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,104.63 / $3,054.29 / $3,560.20	Professional		$2,104.63	$3,054.29	$3,560.20
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $631.78 / $893.18 / $1,016.77	Professional	26	$631.78	$893.18	$1,016.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,093.77 / $2,795.52 / $4,162.16	Professional		$2,093.77	$2,795.52	$4,162.16
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $587.70 / $769.63 / $822.80	Facility	26	$587.70	$769.63	$822.80
Pacific Source Facility/Professional Professional Modifier Low / Median / High Price $2,039.70 / $2,039.70 / $2,039.70	Professional		$2,039.70	$2,039.70	$2,039.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.23 / $3,284.00 / $4,228.14	Professional		$2,456.23	$3,284.00	$4,228.14
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 $2,599.17 / $3,321.36 / $4,375.10	Professional		$2,599.17	$3,321.36	$4,375.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,132.00 / $2,973.59 / $4,367.31	Professional		$2,132.00	$2,973.59	$4,367.31