Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $216.10 / $216.10 / $216.10	Facility	26	$216.10	$216.10	$216.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $265.00	Professional	26	$90.00	$250.00	$265.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.61 / $77.80 / $173.03	Professional	26	$69.61	$77.80	$173.03
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $131.84 / $139.83 / $159.80	Professional	26	$131.84	$139.83	$159.80
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,871.86 / $2,871.86 / $2,871.86	Facility	26	$2,871.86	$2,871.86	$2,871.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $157.47 / $169.88 / $204.92	Professional	26	$157.47	$169.88	$204.92
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.45 / $93.48 / $171.98	Professional	26	$75.45	$93.48	$171.98