Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $100.00 / $288.40	Professional		$66.07	$100.00	$288.40
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $48.98 / $74.13	Professional	26	$33.88	$48.98	$74.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $138.04	Professional		$109.65	$134.90	$138.04
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $69.18 / $72.44	Professional	26	$56.23	$69.18	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $123.03	Professional		$61.66	$100.00	$123.03
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $35.48 / $54.95 / $72.44	Professional	26	$35.48	$54.95	$72.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $138.04	Professional		$77.62	$114.82	$138.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.81 / $58.88 / $70.79	Professional	26	$39.81	$58.88	$70.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $151.36	Professional		$97.72	$109.65	$151.36
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.12 / $57.54 / $83.18	Professional	26	$50.12	$57.54	$83.18
Select Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $112.20	Professional		$66.07	$67.61	$112.20
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $58.88	Professional	26	$33.88	$33.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $112.20	Professional		$61.66	$85.11	$112.20
United Facility/Professional Professional Modifier 26 Low / Median / High Price $38.90 / $51.29 / $67.61	Professional	26	$38.90	$51.29	$67.61