Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.19 / $234.19 / $234.19	Facility	26	$234.19	$234.19	$234.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.25 / $233.74 / $349.60	Professional		$185.25	$233.74	$349.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.34 / $102.31 / $196.80	Professional	26	$49.34	$102.31	$196.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.48 / $267.63 / $339.30	Professional		$176.48	$267.63	$339.30
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.03 / $136.75 / $177.67	Professional	26	$65.03	$136.75	$177.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.60 / $364.60 / $510.99	Professional		$364.60	$364.60	$510.99
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $304.99 / $304.99 / $349.62	Professional	26	$304.99	$304.99	$349.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $273.26 / $314.66 / $405.89	Professional		$273.26	$314.66	$405.89
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $149.44 / $158.50 / $181.14	Professional	26	$149.44	$158.50	$181.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $118.74 / $167.74	Professional		$32.34	$118.74	$167.74
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,254.52 / $9,254.52 / $9,254.52	Facility	26	$9,254.52	$9,254.52	$9,254.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $296.37 / $348.67 / $405.89	Professional		$296.37	$348.67	$405.89
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $160.69 / $189.06 / $227.53	Professional	26	$160.69	$189.06	$227.53
United Facility/Professional Professional Modifier Low / Median / High Price $187.67 / $225.20 / $386.03	Professional		$187.67	$225.20	$386.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.82 / $100.33 / $160.53	Professional	26	$55.82	$100.33	$160.53