Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $167.61 / $167.61 / $167.61	Facility	26	$167.61	$167.61	$167.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.86 / $449.96 / $701.63	Professional		$331.86	$449.96	$701.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.90 / $72.92 / $139.00	Professional	26	$59.90	$72.92	$139.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.55 / $569.91 / $697.32	Professional		$344.55	$569.91	$697.32
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.97 / $108.80 / $129.15	Professional	26	$75.97	$108.80	$129.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $530.51 / $562.66 / $643.04	Professional		$530.51	$562.66	$643.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.48 / $108.69 / $124.22	Professional	26	$102.48	$108.69	$124.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $574.65	Professional		$32.34	$32.34	$574.65
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $949.44	Facility	26	$949.44	$949.44	$949.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $656.59 / $693.91 / $803.31	Professional		$656.59	$693.91	$803.31
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $123.19 / $131.52 / $159.81	Professional	26	$123.19	$131.52	$159.81
United Facility/Professional Professional Modifier Low / Median / High Price $319.70 / $399.00 / $714.00	Professional		$319.70	$399.00	$714.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $57.29 / $73.34 / $131.24	Professional	26	$57.29	$73.34	$131.24