Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $56.69 / $99.95 / $100.52	Facility	26	$56.69	$99.95	$100.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.41 / $357.48 / $592.37	Professional		$289.41	$357.48	$592.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.55 / $483.98 / $591.65	Professional		$299.55	$483.98	$591.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $447.25 / $474.36 / $553.79	Professional		$447.25	$474.36	$553.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $70.01	Professional		$32.34	$32.34	$70.01
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $949.44	Facility	26	$949.44	$949.44	$949.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $552.45 / $583.62 / $673.72	Professional		$552.45	$583.62	$673.72
United Facility/Professional Professional Modifier Low / Median / High Price $274.57 / $340.48 / $609.27	Professional		$274.57	$340.48	$609.27