Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.10 / $114.10 / $114.10	Facility	26	$114.10	$114.10	$114.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.12 / $282.38 / $441.47	Professional		$215.12	$282.38	$441.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.36 / $358.57 / $437.49	Professional		$228.36	$358.57	$437.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $339.98 / $360.59 / $442.40	Professional		$339.98	$360.59	$442.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $288.68	Professional		$32.34	$32.34	$288.68
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 $415.29 / $441.83 / $508.56	Professional		$415.29	$441.83	$508.56
United Facility/Professional Professional Modifier Low / Median / High Price $203.68 / $253.08 / $452.89	Professional		$203.68	$253.08	$452.89