Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $85.70 / $151.16 / $151.16	Facility	26	$85.70	$151.16	$151.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.58 / $216.76 / $460.14	Professional		$172.58	$216.76	$460.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.60 / $53.22 / $127.03	Professional	26	$42.60	$53.22	$127.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $357.66 / $420.78	Professional		$200.00	$357.66	$420.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.86 / $90.62 / $113.93	Professional	26	$53.86	$90.62	$113.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $425.37 / $425.37 / $472.20	Professional		$425.37	$425.37	$472.20
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $160.46 / $160.46 / $194.08	Professional	26	$160.46	$160.46	$194.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.24 / $396.40 / $463.16	Professional		$344.24	$396.40	$463.16
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $94.46 / $102.70 / $114.50	Professional	26	$94.46	$102.70	$114.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $107.00 / $374.46	Professional		$32.34	$107.00	$374.46
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 $383.71 / $451.42 / $525.54	Professional		$383.71	$451.42	$525.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $103.06 / $121.25 / $145.72	Professional	26	$103.06	$121.25	$145.72
United Facility/Professional Professional Modifier Low / Median / High Price $214.11 / $237.12 / $424.32	Professional		$214.11	$237.12	$424.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.99 / $64.23 / $108.56	Professional	26	$47.99	$64.23	$108.56