Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $151.36 / $224.10	Professional		$112.79	$151.36	$224.10
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $22.30 / $26.02 / $34.24	Professional	26	$22.30	$26.02	$34.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.38 / $222.26 / $278.97	Professional		$167.38	$222.26	$278.97
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.65 / $35.67 / $45.71	Professional	26	$26.65	$35.67	$45.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $480.33 / $480.33 / $578.91	Professional		$480.33	$480.33	$578.91
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.55 / $88.55 / $88.55	Professional	26	$88.55	$88.55	$88.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.10 / $245.11 / $280.12	Professional		$231.10	$245.11	$280.12
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $38.50 / $44.00	Professional	26	$36.29	$38.50	$44.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $40.15 / $187.59	Professional		$31.91	$40.15	$187.59
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $205.83 / $217.41 / $235.94	Professional		$205.83	$217.41	$235.94
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $32.50 / $34.33 / $38.45	Professional	26	$32.50	$34.33	$38.45
United Facility/Professional Professional Modifier Low / Median / High Price $157.71 / $218.49 / $292.79	Professional		$157.71	$218.49	$292.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.62 / $36.92 / $50.96	Professional	26	$25.62	$36.92	$50.96