Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $375.94 / $375.94 / $442.01	Facility	26	$375.94	$375.94	$442.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $886.22 / $1,239.58 / $1,475.10	Professional		$886.22	$1,239.58	$1,475.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $237.16 / $315.92 / $375.94	Professional	26	$237.16	$315.92	$375.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,301.97 / $1,487.60 / $1,779.36	Professional		$1,301.97	$1,487.60	$1,779.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $328.90 / $402.61 / $449.49	Professional	26	$328.90	$402.61	$449.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.12 / $1,462.70 / $1,671.66	Professional		$1,379.12	$1,462.70	$1,671.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $371.46 / $427.75 / $450.26	Professional	26	$371.46	$427.75	$450.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $969.40 / $1,481.45	Professional		$32.34	$969.40	$1,481.45
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,624.10 / $5,624.10 / $5,624.10	Facility	26	$5,624.10	$5,624.10	$5,624.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,330.31 / $1,330.31 / $1,444.64	Professional		$1,330.31	$1,330.31	$1,444.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $346.26 / $346.26 / $374.38	Professional	26	$346.26	$346.26	$374.38
United Facility/Professional Professional Modifier Low / Median / High Price $937.25 / $1,303.47 / $1,658.93	Professional		$937.25	$1,303.47	$1,658.93
United Facility/Professional Professional Modifier 26 Low / Median / High Price $254.85 / $369.49 / $478.81	Professional	26	$254.85	$369.49	$478.81