Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.27 / $172.27 / $174.83	Facility	26	$172.27	$172.27	$174.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $168.98 / $273.55	Professional		$137.52	$168.98	$273.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $221.82 / $267.49	Professional		$148.13	$221.82	$267.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.22 / $413.22 / $458.71	Professional		$413.22	$413.22	$458.71
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $157.86 / $157.86 / $266.60	Professional	26	$157.86	$157.86	$266.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $212.42 / $244.61 / $285.80	Professional		$212.42	$244.61	$285.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.78 / $121.76	Professional		$32.34	$96.78	$121.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,727.91 / $2,727.91 / $2,727.91	Facility	26	$2,727.91	$2,727.91	$2,727.91
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $232.90 / $274.00 / $314.56	Professional		$232.90	$274.00	$314.56
United Facility/Professional Professional Modifier Low / Median / High Price $128.47 / $158.27 / $337.25	Professional		$128.47	$158.27	$337.25