Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $1,204.98 / $1,204.98 / $1,204.98	Facility	26	$1,204.98	$1,204.98	$1,204.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $740.75 / $917.80 / $1,664.03	Professional		$740.75	$917.80	$1,664.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $450.18 / $521.64 / $878.80	Professional	26	$450.18	$521.64	$878.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,025.00 / $1,393.65 / $1,623.99	Professional		$1,025.00	$1,393.65	$1,623.99
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $569.64 / $746.16 / $899.79	Professional	26	$569.64	$746.16	$899.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.61 / $1,613.18 / $2,155.35	Professional		$1,497.61	$1,613.18	$2,155.35
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $744.53 / $789.65 / $902.46	Professional	26	$744.53	$789.65	$902.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $638.77 / $839.18	Professional		$32.34	$638.77	$839.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,374.41 / $1,374.41 / $1,374.41	Facility	26	$1,374.41	$1,374.41	$1,374.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,708.48 / $1,892.66 / $2,155.35	Professional		$1,708.48	$1,892.66	$2,155.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $868.68 / $938.45 / $1,118.63	Professional	26	$868.68	$938.45	$1,118.63
United Facility/Professional Professional Modifier Low / Median / High Price $933.28 / $1,107.95 / $1,800.33	Professional		$933.28	$1,107.95	$1,800.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $499.70 / $696.50 / $1,181.80	Professional	26	$499.70	$696.50	$1,181.80