Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.12 / $295.12 / $371.54	Facility	26	$295.12	$295.12	$371.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $208.93 / $346.74	Professional	26	$125.89	$208.93	$346.74
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 $295.12 / $295.12 / $371.54	Facility	26	$295.12	$295.12	$371.54
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $181.97 / $223.87 / $309.03	Professional	26	$181.97	$223.87	$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 $204.17 / $229.09 / $288.40	Professional	26	$204.17	$229.09	$288.40
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $107.15 / $251.19	Professional	26	$107.15	$107.15	$251.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $125.89 / $239.88	Professional	26	$102.33	$125.89	$239.88