Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $281.84 / $281.84 / $281.84	Facility	26	$281.84	$281.84	$281.84
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $109.65 / $120.23 / $229.09	Professional	26	$109.65	$120.23	$229.09
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 26 Low / Median / High Price $173.78 / $204.17 / $223.87	Professional	26	$173.78	$204.17	$223.87
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $134.90 / $169.82 / $218.78	Professional	26	$134.90	$169.82	$218.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $186.21 / $295.12	Professional	26	$173.78	$186.21	$295.12
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 26 Low / Median / High Price $194.98 / $218.78 / $223.87	Professional	26	$194.98	$218.78	$223.87
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $102.33 / $102.33 / $229.09	Professional	26	$102.33	$102.33	$229.09
United Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $120.23 / $229.09	Professional	26	$100.00	$120.23	$229.09