Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.63 / $286.91 / $555.12	Professional		$229.63	$286.91	$555.12
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $53.46 / $60.34 / $85.77	Professional	26	$53.46	$60.34	$85.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $388.47 / $457.03	Professional		$249.40	$388.47	$457.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.79 / $83.60 / $102.99	Professional	26	$61.79	$83.60	$102.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $678.89 / $678.89 / $818.22	Professional		$678.89	$678.89	$818.22
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $178.77 / $178.77 / $178.77	Professional	26	$178.77	$178.77	$178.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $518.78 / $550.22 / $628.82	Professional		$518.78	$550.22	$628.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $85.39 / $98.33 / $103.50	Professional	26	$85.39	$98.33	$103.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $96.31 / $464.76	Professional		$32.34	$96.31	$464.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $323.24 / $377.66 / $414.54	Professional		$323.24	$377.66	$414.54
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $67.56 / $71.23 / $89.91	Professional	26	$67.56	$71.23	$89.91
United Facility/Professional Professional Modifier Low / Median / High Price $242.16 / $332.80 / $456.28	Professional		$242.16	$332.80	$456.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.58 / $78.50 / $104.73	Professional	26	$55.58	$78.50	$104.73