Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $199.53 / $199.53 / $199.53	Facility	26	$199.53	$199.53	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $173.78 / $316.23	Professional	26	$109.65	$173.78	$316.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $138.04 / $165.96 / $245.47	Professional	26	$138.04	$165.96	$245.47
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility	26	$2,691.53	$2,691.53	$2,691.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $165.96 / $257.04 / $275.42	Professional	26	$165.96	$257.04	$275.42
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $120.23 / $181.97 / $269.15	Professional	26	$120.23	$181.97	$269.15
United Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $134.90 / $204.17	Professional	26	$104.71	$134.90	$204.17