Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $64.56 / $64.56 / $64.56	Facility	26	$64.56	$64.56	$64.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $182.22 / $207.42	Professional		$100.07	$182.22	$207.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.76 / $181.19 / $238.40	Professional		$126.76	$181.19	$238.40
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $249.82 / $249.82 / $277.32	Professional		$249.82	$249.82	$277.32
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $91.71 / $91.71 / $438.69	Professional	26	$91.71	$91.71	$438.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.65 / $194.20 / $241.75	Professional		$168.65	$194.20	$241.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.97 / $182.42	Professional		$32.34	$44.97	$182.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $9,254.52 / $9,254.52 / $9,254.52	Facility	26	$9,254.52	$9,254.52	$9,254.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $215.78 / $241.75	Professional		$183.41	$215.78	$241.75
United Facility/Professional Professional Modifier Low / Median / High Price $117.29 / $154.19 / $285.39	Professional		$117.29	$154.19	$285.39