Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.19 / $59.19 / $59.19	Facility	26	$59.19	$59.19	$59.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $153.41 / $276.75	Professional		$101.56	$153.41	$276.75
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.07 / $25.53 / $48.84	Professional	26	$21.07	$25.53	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $202.55 / $246.83	Professional		$108.94	$202.55	$246.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $38.40 / $45.18	Professional	26	$26.37	$38.40	$45.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.08 / $270.08 / $299.81	Professional		$270.08	$270.08	$299.81
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.00 / $67.00 / $81.04	Professional	26	$67.00	$67.00	$81.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.89 / $244.00 / $285.08	Professional		$211.89	$244.00	$285.08
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $41.80 / $48.84	Professional	26	$36.29	$41.80	$48.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.22 / $229.09	Professional		$32.34	$41.22	$229.09
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 $235.82 / $277.43 / $317.41	Professional		$235.82	$277.43	$317.41
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $40.18 / $47.27 / $56.77	Professional	26	$40.18	$47.27	$56.77
United Facility/Professional Professional Modifier Low / Median / High Price $114.71 / $129.91 / $244.80	Professional		$114.71	$129.91	$244.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $23.83 / $26.22 / $49.80	Professional	26	$23.83	$26.22	$49.80