Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.80 / $125.80 / $125.80	Facility	26	$125.80	$125.80	$125.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.52 / $562.96 / $828.24	Professional		$403.52	$562.96	$828.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $490.33 / $671.03 / $854.38	Professional		$490.33	$671.03	$854.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,775.77 / $1,775.77 / $1,971.27	Professional		$1,775.77	$1,775.77	$1,971.27
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $309.26 / $309.26 / $309.26	Professional	26	$309.26	$309.26	$309.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $635.12 / $731.35 / $879.78	Professional		$635.12	$731.35	$879.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $87.61 / $597.38	Professional		$32.34	$87.61	$597.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $949.44	Facility	26	$949.44	$949.44	$949.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $713.26 / $839.13 / $959.05	Professional		$713.26	$839.13	$959.05
United Facility/Professional Professional Modifier Low / Median / High Price $377.62 / $467.77 / $888.52	Professional		$377.62	$467.77	$888.52