Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $65.61 / $87.19 / $117.57	Facility	26	$65.61	$87.19	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.91 / $483.12 / $738.35	Professional		$354.91	$483.12	$738.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.58 / $604.50 / $725.76	Professional		$422.58	$604.50	$725.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,497.59 / $1,497.59 / $1,662.46	Professional		$1,497.59	$1,497.59	$1,662.46
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $234.53 / $234.53 / $283.67	Professional	26	$234.53	$234.53	$283.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $564.67 / $650.24 / $792.49	Professional		$564.67	$650.24	$792.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.88 / $546.63	Professional		$32.34	$81.88	$546.63
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 $627.09 / $737.75 / $843.96	Professional		$627.09	$737.75	$843.96
United Facility/Professional Professional Modifier Low / Median / High Price $336.48 / $427.88 / $765.68	Professional		$336.48	$427.88	$765.68