Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.99 / $90.99 / $90.99	Facility	26	$90.99	$90.99	$90.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $139.47 / $207.31	Professional		$108.35	$139.47	$207.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.44 / $232.85 / $277.52	Professional		$162.44	$232.85	$277.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.15 / $218.34 / $242.66	Professional		$200.15	$218.34	$242.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $98.16 / $197.63	Professional		$32.34	$98.16	$197.63
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $175.49 / $206.46 / $242.66	Professional		$175.49	$206.46	$242.66
United Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $191.53 / $280.00	Professional		$129.60	$191.53	$280.00