Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $145.12 / $145.12 / $145.12	Facility	26	$145.12	$145.12	$145.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.36 / $187.28 / $506.64	Professional		$109.36	$187.28	$506.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $181.61 / $233.81	Professional		$115.73	$181.61	$233.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.41 / $375.41 / $384.48	Professional		$375.41	$375.41	$384.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $291.58 / $291.58 / $291.58	Professional	26	$291.58	$291.58	$291.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $203.46 / $253.59	Professional		$181.47	$203.46	$253.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $90.70 / $200.44	Professional		$32.34	$90.70	$200.44
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 $202.05 / $237.70 / $279.56	Professional		$202.05	$237.70	$279.56
United Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $129.96 / $242.89	Professional		$123.43	$129.96	$242.89