Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $53.86 / $70.64 / $97.16	Facility	26	$53.86	$70.64	$97.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $363.17 / $553.13	Professional		$149.37	$363.17	$553.13
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.96 / $42.08 / $78.81	Professional	26	$34.96	$42.08	$78.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.75 / $455.20 / $563.33	Professional		$163.75	$455.20	$563.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.19 / $62.49 / $73.22	Professional	26	$44.19	$62.49	$73.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $423.77 / $449.45 / $513.66	Professional		$423.77	$449.45	$513.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $59.78 / $63.40 / $72.45	Professional	26	$59.78	$63.40	$72.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $457.14	Professional		$32.34	$32.34	$457.14
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $731.61	Facility	26	$731.61	$731.61	$731.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $520.05 / $553.48 / $633.95	Professional		$520.05	$553.48	$633.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $70.48 / $76.04 / $91.15	Professional	26	$70.48	$76.04	$91.15
United Facility/Professional Professional Modifier Low / Median / High Price $137.13 / $322.24 / $576.64	Professional		$137.13	$322.24	$576.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $33.28 / $41.80 / $74.80	Professional	26	$33.28	$41.80	$74.80