Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.48 / $75.48 / $93.87	Facility	26	$75.48	$75.48	$93.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $282.58 / $431.04	Professional		$159.55	$282.58	$431.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.76 / $33.31 / $62.58	Professional	26	$26.76	$33.31	$62.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.81 / $341.02 / $397.91	Professional		$164.81	$341.02	$397.91
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.72 / $49.21 / $57.85	Professional	26	$33.72	$49.21	$57.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $324.51 / $344.17 / $393.34	Professional		$324.51	$344.17	$393.34
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.43 / $49.25 / $56.28	Professional	26	$46.43	$49.25	$56.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $350.12	Professional		$32.34	$32.34	$350.12
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 $403.23 / $424.70 / $490.82	Professional		$403.23	$424.70	$490.82
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.88 / $58.91 / $71.81	Professional	26	$55.88	$58.91	$71.81
United Facility/Professional Professional Modifier Low / Median / High Price $154.21 / $249.28 / $391.07	Professional		$154.21	$249.28	$391.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.46 / $34.22 / $59.84	Professional	26	$25.46	$34.22	$59.84