Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $463.42 / $463.42 / $463.42	Facility	26	$463.42	$463.42	$463.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.63 / $1,529.81 / $1,820.47	Professional		$1,179.63	$1,529.81	$1,820.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $325.89 / $441.36 / $525.21	Professional	26	$325.89	$441.36	$525.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,627.62 / $1,939.84 / $2,224.42	Professional		$1,627.62	$1,939.84	$2,224.42
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $459.25 / $562.17 / $627.64	Professional	26	$459.25	$562.17	$627.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,710.57 / $1,814.24 / $2,073.42	Professional		$1,710.57	$1,814.24	$2,073.42
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $519.29 / $597.99 / $629.46	Professional	26	$519.29	$597.99	$629.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,145.95 / $1,837.76	Professional		$32.34	$1,145.95	$1,837.76
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 $1,646.23 / $1,646.23 / $1,786.74	Professional		$1,646.23	$1,646.23	$1,786.74
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $484.07 / $484.07 / $523.78	Professional	26	$484.07	$484.07	$523.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.64 / $1,727.65 / $2,172.83	Professional		$1,205.64	$1,727.65	$2,172.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $280.06 / $470.25 / $659.60	Professional	26	$280.06	$470.25	$659.60