Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $144.54 / $275.42	Professional	26	$64.57	$144.54	$275.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.18 / $97.72 / $147.91	Professional	26	$83.18	$97.72	$147.91
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	26	$2,691.53	$2,691.53	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $154.88 / $162.18	Professional	26	$100.00	$154.88	$162.18
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $109.65 / $177.83	Professional	26	$72.44	$109.65	$177.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.66 / $81.28 / $123.03	Professional	26	$61.66	$81.28	$123.03