Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility	26	$1,230.27	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $977.24 / $1,659.59	Professional		$870.96	$977.24	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $489.78 / $870.96	Professional	26	$446.68	$489.78	$870.96
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	26	$1,380.38	$1,380.38	$1,380.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $1,905.46	Professional		$1,479.11	$1,737.80	$1,905.46
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $741.31 / $870.96 / $933.25	Professional	26	$741.31	$870.96	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,698.24	Professional		$1,023.29	$1,318.26	$1,698.24
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $575.44 / $707.95 / $1,096.48	Professional	26	$575.44	$707.95	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $2,630.27	Professional		$1,548.82	$1,621.81	$2,630.27
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $758.58 / $812.83 / $1,288.25	Professional	26	$758.58	$812.83	$1,288.25
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 $1,380.38 / $1,380.38 / $1,380.38	Facility	26	$1,380.38	$1,380.38	$1,380.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,778.28 / $1,905.46	Professional		$1,621.81	$1,778.28	$1,905.46
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $812.83 / $912.01 / $933.25	Professional	26	$812.83	$912.01	$933.25
Select Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $3,548.13	Professional		$870.96	$870.96	$3,548.13
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $436.52 / $436.52 / $1,071.52	Professional	26	$436.52	$436.52	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $1,778.28	Professional		$933.25	$1,071.52	$1,778.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $501.19 / $691.83 / $1,174.90	Professional	26	$501.19	$691.83	$1,174.90