Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $213.80	Facility	26	$114.82	$114.82	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $524.81 / $851.14	Professional		$213.80	$524.81	$851.14
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $588.84	Professional		$398.11	$467.74	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $398.11 / $707.95	Professional		$234.42	$398.11	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $831.76	Professional		$501.19	$501.19	$831.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.42 / $234.42 / $457.09	Professional	26	$234.42	$234.42	$457.09
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $199.53	Facility	26	$114.82	$114.82	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $645.65	Professional		$263.03	$489.78	$645.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $199.53	Professional		$32.36	$33.11	$199.53
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $933.25 / $933.25 / $933.25	Facility	26	$933.25	$933.25	$933.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $549.54	Professional		$363.08	$524.81	$549.54
Select Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $562.34	Professional		$245.47	$245.47	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $501.19	Professional		$223.87	$281.84	$501.19