Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $257.04	Professional		$102.33	$144.54	$257.04
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $323.59	Professional		$194.98	$229.09	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $309.03	Professional		$147.91	$213.80	$309.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $691.83	Professional		$630.96	$630.96	$691.83
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $112.20 / $407.38 / $407.38	Professional	26	$112.20	$407.38	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $691.83	Professional		$128.82	$257.04	$691.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility	26	$5,495.41	$5,495.41	$5,495.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $263.03 / $316.23	Professional		$208.93	$263.03	$316.23
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $123.03 / $436.52	Professional		$120.23	$123.03	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $389.05	Professional		$141.25	$186.21	$389.05