Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.40 / $114.40 / $134.18	Facility	26	$114.40	$114.40	$134.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $207.31 / $231.01	Professional		$127.80	$207.31	$231.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $200.01 / $277.66	Professional		$139.19	$200.01	$277.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $615.78 / $615.78 / $683.57	Professional		$615.78	$615.78	$683.57
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $191.72 / $191.72 / $409.50	Professional	26	$191.72	$191.72	$409.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $210.20 / $267.58	Professional		$182.54	$210.20	$267.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $83.86 / $177.68	Professional		$32.34	$83.86	$177.68
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 $199.13 / $234.27 / $267.58	Professional		$199.13	$234.27	$267.58
United Facility/Professional Professional Modifier Low / Median / High Price $128.12 / $180.74 / $319.30	Professional		$128.12	$180.74	$319.30