Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.37 / $155.37 / $155.37	Facility	26	$155.37	$155.37	$155.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.23 / $436.17 / $440.00	Professional		$243.23	$436.17	$440.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.00 / $82.55 / $134.22	Professional	26	$55.00	$82.55	$134.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $187.41 / $504.52	Professional		$167.68	$187.41	$504.52
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 $1,088.42 / $1,088.42 / $1,208.25	Professional		$1,088.42	$1,088.42	$1,208.25
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $398.51 / $398.51 / $482.02	Professional	26	$398.51	$398.51	$482.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.91 / $371.83 / $484.88	Professional		$322.91	$371.83	$484.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $95.54 / $110.01 / $128.54	Professional	26	$95.54	$110.01	$128.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.21 / $315.54	Professional		$32.34	$108.21	$315.54
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 / $419.22 / $484.88	Professional		$350.00	$419.22	$484.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.23 / $122.62 / $147.36	Professional	26	$104.23	$122.62	$147.36
United Facility/Professional Professional Modifier Low / Median / High Price $199.09 / $301.18 / $603.78	Professional		$199.09	$301.18	$603.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $52.66 / $68.40 / $129.16	Professional	26	$52.66	$68.40	$129.16