Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $269.15	Professional		$151.36	$154.88	$269.15
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Professional		$234.42	$275.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $281.84	Professional		$181.97	$218.78	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $416.87	Professional		$245.47	$263.03	$416.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $302.00	Professional		$263.03	$295.12	$302.00
Select Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $354.81	Professional		$141.25	$141.25	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $181.97 / $295.12	Professional		$162.18	$181.97	$295.12