Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $146.94 / $146.94 / $146.94	Facility	26	$146.94	$146.94	$146.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.74 / $509.57 / $805.83	Professional		$300.74	$509.57	$805.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $678.89 / $826.90	Professional		$397.00	$678.89	$826.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $711.98 / $755.13 / $1,023.01	Professional		$711.98	$755.13	$1,023.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.34 / $768.42	Professional		$32.34	$102.34	$768.42
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $657.04 / $657.04 / $657.04	Facility	26	$657.04	$657.04	$657.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $838.83 / $906.25 / $1,023.01	Professional		$838.83	$906.25	$1,023.01
United Facility/Professional Professional Modifier Low / Median / High Price $413.99 / $569.50 / $894.20	Professional		$413.99	$569.50	$894.20