Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.77 / $72.77 / $72.77	Facility	26	$72.77	$72.77	$72.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.57 / $97.06 / $190.31	Professional		$63.57	$97.06	$190.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $145.72 / $184.39	Professional		$93.24	$145.72	$184.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $436.17 / $436.17 / $484.19	Professional		$436.17	$436.17	$484.19
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $176.33 / $176.33 / $213.28	Professional	26	$176.33	$176.33	$213.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $165.76 / $198.91	Professional		$147.84	$165.76	$198.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.68 / $160.93	Professional		$32.34	$50.68	$160.93
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 $163.03 / $191.80 / $219.53	Professional		$163.03	$191.80	$219.53
United Facility/Professional Professional Modifier Low / Median / High Price $92.58 / $102.98 / $184.27	Professional		$92.58	$102.98	$184.27