Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.03 / $137.03 / $137.03	Facility	26	$137.03	$137.03	$137.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $214.37 / $255.87	Professional		$119.58	$214.37	$255.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.71 / $221.28 / $286.67	Professional		$152.71	$221.28	$286.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $626.58 / $626.58 / $695.56	Professional		$626.58	$626.58	$695.56
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.24 / $112.24 / $405.23	Professional	26	$112.24	$112.24	$405.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.27 / $232.92 / $296.44	Professional		$202.27	$232.92	$296.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $95.43 / $197.70	Professional		$32.34	$95.43	$197.70
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 $218.93 / $257.56 / $296.45	Professional		$218.93	$257.56	$296.45
United Facility/Professional Professional Modifier Low / Median / High Price $140.38 / $186.53 / $331.51	Professional		$140.38	$186.53	$331.51