Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $295.12 / $295.12	Facility	26	$162.18	$295.12	$295.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $173.78 / $302.00	Professional	26	$117.49	$173.78	$302.00
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 $181.97 / $213.80 / $269.15	Professional	26	$181.97	$213.80	$269.15
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.50 / $95.50 / $229.09	Professional	26	$95.50	$95.50	$229.09
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $162.18 / $295.12 / $371.54	Facility	26	$162.18	$295.12	$371.54
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $218.78 / $309.03	Professional	26	$173.78	$218.78	$309.03
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 $199.53 / $229.09 / $281.84	Professional	26	$199.53	$229.09	$281.84
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $104.71 / $245.47	Professional	26	$104.71	$104.71	$245.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $123.03 / $239.88	Professional	26	$102.33	$123.03	$239.88