Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $285.26 / $285.26 / $285.26	Facility	26	$285.26	$285.26	$285.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $475.00 / $901.05	Professional		$375.41	$475.00	$901.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.99 / $274.93 / $601.99	Professional		$245.99	$274.93	$601.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,855.44 / $1,855.44 / $2,059.71	Professional		$1,855.44	$1,855.44	$2,059.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $848.17 / $848.17 / $1,025.89	Professional	26	$848.17	$848.17	$1,025.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $449.39 / $517.48 / $685.11	Professional		$449.39	$517.48	$685.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $178.29 / $492.49	Professional		$32.34	$178.29	$492.49
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $499.57 / $587.73 / $685.11	Professional		$499.57	$587.73	$685.11
United Facility/Professional Professional Modifier Low / Median / High Price $276.39 / $352.68 / $707.02	Professional		$276.39	$352.68	$707.02