Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.73 / $143.22 / $143.22	Facility	26	$80.73	$143.22	$143.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $145.40 / $294.02	Professional		$102.28	$145.40	$294.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.81 / $209.02 / $272.89	Professional		$127.81	$209.02	$272.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $367.30 / $407.74	Professional		$367.30	$367.30	$407.74
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $179.79 / $179.79 / $243.14	Professional	26	$179.79	$179.79	$243.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.14 / $306.81 / $350.64	Professional		$278.14	$306.81	$350.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $108.30 / $296.45	Professional		$32.34	$108.30	$296.45
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $285.87 / $355.52 / $364.35	Professional		$285.87	$355.52	$364.35
United Facility/Professional Professional Modifier Low / Median / High Price $134.11 / $145.80 / $267.92	Professional		$134.11	$145.80	$267.92