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 $220.81 / $440.62 / $524.33	Professional		$220.81	$440.62	$524.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $339.26 / $413.22	Professional		$227.23	$339.26	$413.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.09 / $421.16 / $570.27	Professional		$397.09	$421.16	$570.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $133.87 / $431.69	Professional		$32.34	$133.87	$431.69
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 $448.97 / $506.22 / $570.27	Professional		$448.97	$506.22	$570.27
United Facility/Professional Professional Modifier Low / Median / High Price $222.10 / $270.58 / $419.55	Professional		$222.10	$270.58	$419.55