Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $63.73 / $63.73 / $63.73	Facility	26	$63.73	$63.73	$63.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $68.48 / $123.03	Professional		$56.00	$68.48	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $94.12 / $111.36	Professional		$62.59	$94.12	$111.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $195.80 / $195.80 / $217.36	Professional		$195.80	$195.80	$217.36
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $166.43 / $166.43 / $166.43	Professional	26	$166.43	$166.43	$166.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $110.62 / $129.60	Professional		$96.06	$110.62	$129.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.28 / $54.23	Professional		$32.34	$35.28	$54.23
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $936.81 / $936.81 / $936.81	Facility	26	$936.81	$936.81	$936.81
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $122.62 / $141.41	Professional		$104.23	$122.62	$141.41
United Facility/Professional Professional Modifier Low / Median / High Price $60.27 / $72.31 / $120.54	Professional		$60.27	$72.31	$120.54