Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $235.96 / $235.96 / $235.96	Facility	26	$235.96	$235.96	$235.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.96 / $250.13 / $323.85	Professional		$177.96	$250.13	$323.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $77.76 / $90.82 / $195.19	Professional	26	$77.76	$90.82	$195.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.52 / $272.95 / $338.86	Professional		$192.52	$272.95	$338.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $99.10 / $146.68 / $175.93	Professional	26	$99.10	$146.68	$175.93
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.79 / $669.79 / $743.53	Professional		$669.79	$669.79	$743.53
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $507.84 / $507.84 / $614.25	Professional	26	$507.84	$507.84	$614.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $249.78 / $287.62 / $370.82	Professional		$249.78	$287.62	$370.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $147.84 / $156.80 / $191.18	Professional	26	$147.84	$156.80	$191.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.83 / $245.14	Professional		$32.34	$108.83	$245.14
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $5,551.62	Facility	26	$5,551.62	$5,551.62	$5,551.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $273.66 / $321.95 / $370.82	Professional		$273.66	$321.95	$370.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $160.69 / $189.06 / $222.82	Professional	26	$160.69	$189.06	$222.82
United Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $220.90 / $408.86	Professional		$173.59	$220.90	$408.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.14 / $105.26 / $188.37	Professional	26	$87.14	$105.26	$188.37