Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.18 / $134.18 / $134.18	Facility	26	$134.18	$134.18	$134.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.46 / $209.58 / $242.92	Professional		$134.46	$209.58	$242.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.76 / $208.82 / $280.76	Professional		$144.76	$208.82	$280.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $629.28 / $629.28 / $698.56	Professional		$629.28	$629.28	$698.56
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $150.00 / $150.00 / $407.37	Professional	26	$150.00	$150.00	$407.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.87 / $216.33 / $279.89	Professional		$187.87	$216.33	$279.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $88.09 / $204.26	Professional		$32.34	$88.09	$204.26
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 $207.28 / $243.86 / $279.89	Professional		$207.28	$243.86	$279.89
United Facility/Professional Professional Modifier Low / Median / High Price $133.16 / $184.14 / $340.82	Professional		$133.16	$184.14	$340.82