Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.48 / $93.56 / $407.36	Facility	26	$82.48	$93.56	$407.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.49 / $385.59 / $611.52	Professional		$327.49	$385.59	$611.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $62.15 / $150.91	Professional	26	$50.97	$62.15	$150.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.40 / $553.07 / $642.02	Professional		$384.40	$553.07	$642.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $93.96 / $111.99	Professional	26	$69.87	$93.96	$111.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $556.13 / $589.84 / $674.10	Professional		$556.13	$589.84	$674.10
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.61 / $93.98 / $107.40	Professional	26	$88.61	$93.98	$107.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.21 / $539.17	Professional		$32.34	$100.21	$539.17
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 $444.86 / $523.37 / $590.70	Professional		$444.86	$523.37	$590.70
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $83.08 / $99.83	Professional	26	$70.62	$83.08	$99.83
United Facility/Professional Professional Modifier Low / Median / High Price $341.24 / $485.11 / $650.29	Professional		$341.24	$485.11	$650.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.83 / $79.50 / $111.53	Professional	26	$58.83	$79.50	$111.53