Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $78.15 / $78.15 / $78.15	Facility	26	$78.15	$78.15	$78.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.28 / $315.05 / $478.51	Professional		$169.28	$315.05	$478.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.55 / $359.08 / $425.50	Professional		$177.55	$359.08	$425.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $365.06 / $387.19 / $442.50	Professional		$365.06	$387.19	$442.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $392.93	Professional		$32.34	$32.34	$392.93
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 $447.68 / $477.45 / $544.82	Professional		$447.68	$477.45	$544.82
United Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $281.20 / $411.87	Professional		$164.04	$281.20	$411.87