Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $306.68 / $314.51 / $314.51	Facility	26	$306.68	$314.51	$314.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $455.13 / $629.84	Professional		$280.62	$455.13	$629.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $459.68 / $942.98	Professional		$411.29	$459.68	$942.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,012.80 / $1,012.80 / $1,124.30	Professional		$1,012.80	$1,012.80	$1,124.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $368.97 / $368.97 / $368.97	Professional	26	$368.97	$368.97	$368.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $749.88 / $863.49 / $1,067.42	Professional		$749.88	$863.49	$1,067.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $213.58 / $474.37	Professional		$32.34	$213.58	$474.37
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 $836.11 / $983.66 / $1,147.02	Professional		$836.11	$983.66	$1,147.02
United Facility/Professional Professional Modifier Low / Median / High Price $463.51 / $545.30 / $1,090.61	Professional		$463.51	$545.30	$1,090.61