Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $154.53 / $154.53 / $154.53	Facility	26	$154.53	$154.53	$154.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $383.66 / $438.24	Professional		$258.41	$383.66	$438.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.50 / $72.30 / $134.56	Professional	26	$53.50	$72.30	$134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.90 / $186.54 / $504.07	Professional		$166.90	$186.54	$504.07
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.99 / $55.87 / $113.78	Professional	26	$49.99	$55.87	$113.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.18 / $1,122.18 / $1,245.72	Professional		$1,122.18	$1,122.18	$1,245.72
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $410.86 / $410.86 / $496.94	Professional	26	$410.86	$410.86	$496.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $319.16 / $367.52 / $480.27	Professional		$319.16	$367.52	$480.27
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.01 / $109.40 / $127.83	Professional	26	$95.01	$109.40	$127.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.58 / $347.61	Professional		$32.34	$96.58	$347.61
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.00 / $416.48 / $480.27	Professional		$350.00	$416.48	$480.27
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $103.64 / $121.93 / $146.59	Professional	26	$103.64	$121.93	$146.59
United Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $298.87 / $599.14	Professional		$198.78	$298.87	$599.14
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.37 / $68.40 / $126.70	Professional	26	$52.37	$68.40	$126.70