Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $147.94 / $147.94 / $147.94	Facility	26	$147.94	$147.94	$147.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $371.00 / $494.41	Professional		$275.00	$371.00	$494.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $52.46 / $65.06 / $128.88	Professional	26	$52.46	$65.06	$128.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.92 / $239.09 / $509.00	Professional		$213.92	$239.09	$509.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.25 / $53.92 / $109.88	Professional	26	$48.25	$53.92	$109.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $953.38 / $953.38 / $1,058.33	Professional		$953.38	$953.38	$1,058.33
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $273.32 / $273.32 / $330.59	Professional	26	$273.32	$273.32	$330.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $399.76 / $460.33 / $607.07	Professional		$399.76	$460.33	$607.07
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.73 / $104.48 / $122.08	Professional	26	$90.73	$104.48	$122.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.04 / $374.92	Professional		$32.34	$103.04	$374.92
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 $421.91 / $524.71 / $607.05	Professional		$421.91	$524.71	$607.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $98.98 / $116.45 / $141.13	Professional	26	$98.98	$116.45	$141.13
United Facility/Professional Professional Modifier Low / Median / High Price $239.89 / $310.44 / $589.77	Professional		$239.89	$310.44	$589.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $50.64 / $65.75 / $122.51	Professional	26	$50.64	$65.75	$122.51