Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $77.11 / $77.11 / $110.15	Facility	26	$77.11	$77.11	$110.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $142.13 / $478.97	Professional		$108.09	$142.13	$478.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $177.47 / $227.39	Professional		$110.92	$177.47	$227.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $271.70 / $320.04	Professional		$271.70	$271.70	$320.04
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $134.90 / $155.69	Professional	26	$134.90	$134.90	$155.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.54 / $204.67 / $244.00	Professional		$182.54	$204.67	$244.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $55.67 / $136.88	Professional		$32.34	$55.67	$136.88
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $446.45 / $446.45 / $446.45	Facility	26	$446.45	$446.45	$446.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $203.21 / $239.07 / $274.57	Professional		$203.21	$239.07	$274.57
United Facility/Professional Professional Modifier Low / Median / High Price $120.30 / $130.36 / $241.28	Professional		$120.30	$130.36	$241.28