Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.25 / $178.25 / $375.00	Facility	26	$178.25	$178.25	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.66 / $244.00 / $250.00	Professional	26	$76.66	$244.00	$250.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.33 / $64.08 / $137.06	Professional	26	$57.33	$64.08	$137.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $108.88 / $115.48 / $131.97	Professional	26	$108.88	$115.48	$131.97
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 $129.54 / $139.06 / $168.32	Professional	26	$129.54	$139.06	$168.32
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.05 / $77.14 / $138.04	Professional	26	$61.05	$77.14	$138.04