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 $364.63 / $653.32 / $653.32	Professional		$364.63	$653.32	$653.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.77 / $562.55 / $678.38	Professional		$439.77	$562.55	$678.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $589.76 / $625.50 / $843.58	Professional		$589.76	$625.50	$843.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $106.41 / $637.61	Professional		$32.34	$106.41	$637.61
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 $690.25 / $752.82 / $843.58	Professional		$690.25	$752.82	$843.58
United Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $440.00 / $713.96	Professional		$386.08	$440.00	$713.96