Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $109.65 / $190.55	Professional		$77.62	$109.65	$190.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $57.54 / $104.71	Professional	26	$38.90	$57.54	$104.71
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $169.82	Professional		$138.04	$162.18	$169.82
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $83.18 / $87.10	Professional	26	$70.79	$83.18	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $147.91	Professional		$100.00	$123.03	$147.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $72.44 / $83.18	Professional	26	$54.95	$72.44	$83.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $208.93	Professional		$109.65	$177.83	$208.93
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $87.10 / $100.00	Professional	26	$54.95	$87.10	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $194.98	Professional		$112.20	$177.83	$194.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $97.72 / $104.71	Professional	26	$61.66	$97.72	$104.71
Select Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $707.95	Professional		$93.33	$141.25	$707.95
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $43.65 / $43.65 / $104.71	Professional	26	$43.65	$43.65	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $173.78	Professional		$87.10	$123.03	$173.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $45.71 / $64.57 / $97.72	Professional	26	$45.71	$64.57	$97.72