Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $120.25 / $212.60 / $214.39	Facility	26	$120.25	$212.60	$214.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.29 / $157.82 / $277.87	Professional		$126.29	$157.82	$277.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $217.99 / $249.90	Professional		$162.58	$217.99	$249.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.28 / $228.69 / $322.14	Professional		$100.28	$228.69	$322.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.09	Professional		$32.34	$32.34	$120.09
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $484.26 / $484.26 / $484.26	Facility	26	$484.26	$484.26	$484.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.27 / $274.69 / $322.14	Professional		$255.27	$274.69	$322.14
United Facility/Professional Professional Modifier Low / Median / High Price $116.59 / $169.76 / $266.56	Professional		$116.59	$169.76	$266.56