Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	26	$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $870.96	Professional		$281.84	$457.09	$870.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $134.90 / $269.15	Professional	26	$85.11	$134.90	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $707.95	Professional		$457.09	$501.19	$707.95
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $158.49 / $223.87	Professional	26	$134.90	$158.49	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $776.25	Professional		$239.88	$398.11	$776.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $70.79 / $104.71 / $181.97	Professional	26	$70.79	$104.71	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $602.56 / $724.44 / $724.44	Professional	26	$602.56	$724.44	$724.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $870.96	Professional		$380.19	$537.03	$870.96
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $162.18 / $229.09	Professional	26	$125.89	$162.18	$229.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $707.95 / $707.95 / $707.95	Facility	26	$707.95	$707.95	$707.95
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $794.33	Professional		$436.52	$575.44	$794.33
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $169.82 / $213.80	Professional	26	$138.04	$169.82	$213.80
Select Health Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $257.04 / $954.99	Professional		$251.19	$257.04	$954.99
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $190.55	Professional	26	$79.43	$79.43	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $416.87 / $912.01	Professional		$269.15	$416.87	$912.01
United Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $95.50 / $181.97	Professional	26	$77.62	$95.50	$181.97