Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $52.19 / $52.19 / $52.19	Facility	26	$52.19	$52.19	$52.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.41 / $299.43 / $359.93	Professional		$189.41	$299.43	$359.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.98 / $293.41 / $351.27	Professional		$170.98	$293.41	$351.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.22 / $286.77 / $339.64	Professional		$263.22	$286.77	$339.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $301.55	Professional		$32.34	$32.34	$301.55
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 $340.36 / $363.05 / $413.82	Professional		$340.36	$363.05	$413.82
United Facility/Professional Professional Modifier Low / Median / High Price $160.28 / $207.48 / $371.28	Professional		$160.28	$207.48	$371.28