Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $113.74 / $113.74 / $113.74	Facility	26	$113.74	$113.74	$113.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.36 / $176.50 / $256.79	Professional		$160.36	$176.50	$256.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.51 / $86.33 / $189.08	Professional	26	$64.51	$86.33	$189.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.15 / $227.56 / $297.14	Professional		$153.15	$227.56	$297.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.20 / $103.18 / $134.72	Professional	26	$68.20	$103.18	$134.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $180.88 / $248.70 / $301.45	Professional		$180.88	$248.70	$301.45
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $76.33 / $106.74 / $129.38	Professional	26	$76.33	$106.74	$129.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $120.42 / $244.13	Professional		$32.34	$120.42	$244.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $230.84 / $252.72	Professional		$196.21	$230.84	$252.72
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $84.15 / $99.00 / $112.52	Professional	26	$84.15	$99.00	$112.52
United Facility/Professional Professional Modifier Low / Median / High Price $169.90 / $220.50 / $288.60	Professional		$169.90	$220.50	$288.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $71.81 / $97.50 / $192.63	Professional	26	$71.81	$97.50	$192.63