Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $192.22 / $192.22 / $192.22	Facility	26	$192.22	$192.22	$192.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $156.66 / $269.48	Professional		$138.21	$156.66	$269.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.16 / $232.52 / $266.55	Professional		$180.16	$232.52	$266.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.17 / $254.73 / $348.84	Professional		$240.17	$254.73	$348.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.41 / $263.87	Professional		$32.34	$106.41	$263.87
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 $280.04 / $304.83 / $348.84	Professional		$280.04	$304.83	$348.84
United Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $190.83 / $292.02	Professional		$160.74	$190.83	$292.02