Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $356.01 / $356.01 / $356.01	Facility	26	$356.01	$356.01	$356.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.01 / $1,162.75 / $1,379.18	Professional		$1,138.01	$1,162.75	$1,379.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,327.93 / $1,475.31 / $1,754.95	Professional		$1,327.93	$1,475.31	$1,754.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.07 / $605.23 / $941.30	Professional		$200.07	$605.23	$941.30
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,276.22 / $5,276.22 / $5,276.22	Facility	26	$5,276.22	$5,276.22	$5,276.22
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,896.08 / $2,117.29 / $2,662.30	Professional		$1,896.08	$2,117.29	$2,662.30
United Facility/Professional Professional Modifier Low / Median / High Price $973.83 / $1,109.20 / $1,780.63	Professional		$973.83	$1,109.20	$1,780.63