Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $176.60 / $176.60 / $176.60	Facility	26	$176.60	$176.60	$176.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.03 / $453.93 / $522.50	Professional		$212.03	$453.93	$522.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.49 / $207.32 / $427.68	Professional		$185.49	$207.32	$427.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.76 / $1,062.76 / $1,179.76	Professional		$1,062.76	$1,062.76	$1,179.76
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $486.28 / $486.28 / $486.28	Professional	26	$486.28	$486.28	$486.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $344.24 / $396.40 / $519.60	Professional		$344.24	$396.40	$519.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $122.99 / $375.57	Professional		$32.34	$122.99	$375.57
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 $381.96 / $449.36 / $519.60	Professional		$381.96	$449.36	$519.60
United Facility/Professional Professional Modifier Low / Median / High Price $211.67 / $469.20 / $983.42	Professional		$211.67	$469.20	$983.42