Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $309.03	Professional		$144.54	$177.83	$309.03
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $107.15 / $275.42	Professional	26	$64.57	$107.15	$275.42
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $309.03	Professional		$239.88	$295.12	$309.03
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $131.83 / $138.04	Professional	26	$104.71	$131.83	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $323.59	Professional		$147.91	$223.87	$323.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $100.00 / $134.90	Professional	26	$66.07	$100.00	$134.90
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $331.13	Professional		$173.78	$275.42	$331.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.44 / $112.20 / $151.36	Professional	26	$72.44	$112.20	$151.36
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 $512.86 / $512.86 / $512.86	Facility	26	$512.86	$512.86	$512.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $346.74	Professional		$194.98	$229.09	$346.74
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.11 / $100.00 / $147.91	Professional	26	$85.11	$100.00	$147.91
Select Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $524.81	Professional		$154.88	$173.78	$524.81
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $64.57 / $114.82	Professional	26	$64.57	$64.57	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $302.00	Professional		$151.36	$218.78	$302.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $95.50 / $128.82	Professional	26	$67.61	$95.50	$128.82