Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.75 / $297.50 / $297.50	Facility	26	$162.75	$297.50	$297.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $90.00 / $250.00 / $291.50	Professional	26	$90.00	$250.00	$291.50
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.67 / $105.81 / $228.48	Professional	26	$94.67	$105.81	$228.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $179.87 / $190.77 / $218.02	Professional	26	$179.87	$190.77	$218.02
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 $213.36 / $228.11 / $276.52	Professional	26	$213.36	$228.11	$276.52
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.13 / $128.06 / $229.16	Professional	26	$102.13	$128.06	$229.16