Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.24 / $62.24 / $62.24	Facility	26	$62.24	$62.24	$62.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.41 / $172.00 / $278.92	Professional		$133.41	$172.00	$278.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $189.38 / $246.04	Professional		$77.22	$189.38	$246.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.84 / $330.84 / $367.27	Professional		$330.84	$330.84	$367.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $82.87 / $82.87 / $100.24	Professional	26	$82.87	$82.87	$100.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.20 / $226.43 / $287.25	Professional		$212.20	$226.43	$287.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $43.35 / $230.92	Professional		$32.34	$43.35	$230.92
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 $236.98 / $278.80 / $320.30	Professional		$236.98	$278.80	$320.30
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $139.08 / $396.82	Professional		$73.42	$139.08	$396.82