Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.19 / $59.19 / $59.19	Facility	26	$59.19	$59.19	$59.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $307.17 / $370.98	Professional		$196.00	$307.17	$370.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $301.58 / $368.56	Professional		$178.32	$301.58	$368.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $305.11 / $348.70	Professional		$287.68	$305.11	$348.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $309.86	Professional		$32.34	$32.34	$309.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $731.61	Facility	26	$731.61	$731.61	$731.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $350.52 / $374.01 / $426.59	Professional		$350.52	$374.01	$426.59
United Facility/Professional Professional Modifier Low / Median / High Price $167.81 / $212.42 / $380.12	Professional		$167.81	$212.42	$380.12