Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $213.80 / $218.78	Facility	26	$120.23	$213.80	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $158.49 / $275.42	Professional		$138.04	$158.49	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $257.04	Professional		$165.96	$218.78	$257.04
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $120.23 / $213.80 / $213.80	Facility	26	$120.23	$213.80	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $371.54	Professional		$186.21	$229.09	$371.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $275.42	Professional		$239.88	$269.15	$275.42
Select Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $467.74	Professional		$125.89	$125.89	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $269.15	Professional		$117.49	$147.91	$269.15