Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $144.47 / $144.47 / $144.47	Facility	26	$144.47	$144.47	$144.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $242.83 / $448.88 / $448.88	Professional		$242.83	$448.88	$448.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.41 / $381.07 / $459.53	Professional		$281.41	$381.07	$459.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $401.36 / $425.69 / $578.59	Professional		$401.36	$425.69	$578.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.62 / $434.54	Professional		$32.34	$100.62	$434.54
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $468.86 / $468.86 / $468.86	Facility	26	$468.86	$468.86	$468.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $472.44 / $513.75 / $578.59	Professional		$472.44	$513.75	$578.59
United Facility/Professional Professional Modifier Low / Median / High Price $257.64 / $284.20 / $463.55	Professional		$257.64	$284.20	$463.55