Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $132.08 / $132.08 / $132.08	Facility	26	$132.08	$132.08	$132.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $233.12 / $284.63	Professional		$157.16	$233.12	$284.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.18 / $240.82 / $309.94	Professional		$174.18	$240.82	$309.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,019.55 / $1,019.55 / $1,131.79	Professional		$1,019.55	$1,019.55	$1,131.79
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $427.39 / $427.39 / $563.05	Professional	26	$427.39	$427.39	$563.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $266.11 / $334.11	Professional		$231.10	$266.11	$334.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $82.55 / $251.51	Professional		$32.34	$82.55	$251.51
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 $250.37 / $294.55 / $334.11	Professional		$250.37	$294.55	$334.11
United Facility/Professional Professional Modifier Low / Median / High Price $153.38 / $204.91 / $384.68	Professional		$153.38	$204.91	$384.68