Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $102.00 / $154.10	Professional		$59.75	$102.00	$154.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $157.94 / $190.46	Professional		$111.56	$157.94	$190.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $153.97 / $175.96	Professional		$145.16	$153.97	$175.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $34.81 / $140.97	Professional		$27.67	$34.81	$140.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $270.73 / $270.73 / $270.73	Facility	26	$270.73	$270.73	$270.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $120.52 / $141.79 / $164.52	Professional		$120.52	$141.79	$164.52
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $107.58 / $184.27	Professional		$72.00	$107.58	$184.27