Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.34 / $77.34 / $77.34	Facility	26	$77.34	$77.34	$77.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.53 / $147.10 / $297.97	Professional		$119.53	$147.10	$297.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.03 / $29.43 / $58.15	Professional	26	$25.03	$29.43	$58.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.97 / $211.72 / $264.64	Professional		$120.97	$211.72	$264.64
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.97 / $45.23 / $53.21	Professional	26	$30.97	$45.23	$53.21
Cigna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.71 / $164.71 / $164.71	Professional	50	$164.71	$164.71	$164.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $329.49 / $329.49 / $372.78	Professional		$329.49	$329.49	$372.78
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $89.93 / $89.93 / $108.77	Professional	26	$89.93	$89.93	$108.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.39 / $198.51 / $267.70	Professional		$172.39	$198.51	$267.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.58 / $55.94 / $58.88	Professional	26	$48.58	$55.94	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $53.86 / $167.32	Professional		$32.34	$53.86	$167.32
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $714.15 / $714.15 / $714.15	Facility	26	$714.15	$714.15	$714.15
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $200.01 / $227.42 / $297.95	Professional		$200.01	$227.42	$297.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $52.98 / $62.33 / $72.29	Professional	26	$52.98	$62.33	$72.29
United Facility/Professional Professional Modifier Low / Median / High Price $138.53 / $145.91 / $272.76	Professional		$138.53	$145.91	$272.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $28.93 / $31.16 / $56.33	Professional	26	$28.93	$31.16	$56.33