Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.30 / $200.61 / $200.61	Facility	26	$114.30	$200.61	$200.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.11 / $426.37 / $835.71	Professional		$196.11	$426.37	$835.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.10 / $404.27 / $505.34	Professional		$232.10	$404.27	$505.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $498.29 / $498.29 / $828.44	Professional		$498.29	$498.29	$828.44
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $236.74 / $236.74 / $456.25	Professional	26	$236.74	$236.74	$456.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $409.37 / $434.18 / $550.78	Professional		$409.37	$434.18	$550.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $142.00 / $447.00	Professional		$32.34	$142.00	$447.00
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 $457.07 / $537.73 / $617.36	Professional		$457.07	$537.73	$617.36
United Facility/Professional Professional Modifier Low / Median / High Price $223.97 / $292.98 / $467.84	Professional		$223.97	$292.98	$467.84