Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $87.60 / $87.60 / $89.26	Facility	26	$87.60	$87.60	$89.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.63 / $290.42 / $447.37	Professional		$192.63	$290.42	$447.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.47 / $365.29 / $449.71	Professional		$200.47	$365.29	$449.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $341.04 / $361.71 / $413.38	Professional		$341.04	$361.71	$413.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.00	Professional		$32.34	$32.34	$368.00
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 $420.37 / $445.25 / $512.67	Professional		$420.37	$445.25	$512.67
United Facility/Professional Professional Modifier Low / Median / High Price $191.53 / $257.26 / $460.37	Professional		$191.53	$257.26	$460.37