Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $45.71 / $57.54	Facility	26	$40.74	$45.71	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $95.50 / $218.78	Professional		$72.44	$95.50	$218.78
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $229.09	Professional		$138.04	$165.96	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $181.97	Professional		$75.86	$138.04	$181.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $398.11	Professional		$229.09	$229.09	$398.11
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $144.54 / $144.54 / $144.54	Professional	26	$144.54	$144.54	$144.54
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $40.74 / $45.71 / $57.54	Facility	26	$40.74	$45.71	$57.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $223.87	Professional		$85.11	$158.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $33.11 / $58.88	Professional		$14.45	$33.11	$58.88
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.68 / $446.68 / $446.68	Facility	26	$446.68	$446.68	$446.68
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $190.55 / $229.09	Professional		$134.90	$190.55	$229.09
Select Health Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $229.09	Professional		$83.18	$85.11	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $91.20 / $169.82	Professional		$79.43	$91.20	$169.82