Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $194.98	Facility	26	$165.96	$165.96	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $524.81	Professional		$245.47	$302.00	$524.81
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 $389.05 / $457.09 / $501.19	Professional		$389.05	$457.09	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $331.13 / $436.52	Professional		$229.09	$331.13	$436.52
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $165.96 / $165.96 / $165.96	Facility	26	$165.96	$165.96	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $436.52 / $691.83	Professional		$407.38	$436.52	$691.83
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 $436.52 / $467.74 / $501.19	Professional		$436.52	$467.74	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $501.19	Professional		$229.09	$229.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $407.38	Professional		$223.87	$269.15	$407.38