Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $223.87 / $223.87 / $223.87	Facility	26	$223.87	$223.87	$223.87
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $93.33 / $154.88 / $263.03	Professional	26	$93.33	$154.88	$263.03
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	26	$2,884.03	$2,884.03	$2,884.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $158.49 / $194.98	Professional	26	$138.04	$158.49	$194.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.18 / $69.18 / $173.78	Professional	26	$69.18	$69.18	$173.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $165.96 / $229.09	Professional	26	$134.90	$165.96	$229.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility	26	$2,884.03	$2,884.03	$2,884.03
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $147.91 / $165.96 / $208.93	Professional	26	$147.91	$165.96	$208.93
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $79.43 / $79.43 / $194.98	Professional	26	$79.43	$79.43	$194.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $93.33 / $177.83	Professional	26	$75.86	$93.33	$177.83