Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $295.57 / $297.50 / $375.00	Facility	26	$295.57	$297.50	$375.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $107.72 / $250.00 / $330.75	Professional	26	$107.72	$250.00	$330.75
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $95.55 / $106.79 / $230.78	Professional	26	$95.55	$106.79	$230.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $180.92 / $191.89 / $219.30	Professional	26	$180.92	$191.89	$219.30
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 $214.63 / $230.16 / $279.00	Professional	26	$214.63	$230.16	$279.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $103.00 / $129.19 / $231.19	Professional	26	$103.00	$129.19	$231.19