Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.40 / $68.40 / $68.40	Facility	26	$68.40	$68.40	$68.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $60.57 / $195.48	Professional		$43.52	$60.57	$195.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $77.01 / $98.66	Professional		$49.26	$77.01	$98.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $433.70	Professional		$267.37	$267.37	$433.70
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $86.12 / $86.12 / $223.94	Professional	26	$86.12	$86.12	$223.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.86 / $86.17 / $116.13	Professional		$76.86	$86.17	$116.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $37.52 / $85.16	Professional		$29.82	$37.52	$85.16
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 $85.01 / $100.01 / $117.40	Professional		$85.01	$100.01	$117.40
United Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $55.86 / $98.49	Professional		$47.31	$55.86	$98.49