Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.01 / $429.39 / $686.16	Professional		$319.01	$429.39	$686.16
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.67 / $107.23 / $193.74	Professional	26	$87.67	$107.23	$193.74
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $231.34 / $322.16 / $492.42	Professional	TC	$231.34	$322.16	$492.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.94 / $480.53 / $575.29	Professional		$420.94	$480.53	$575.29
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $120.31 / $141.04 / $164.42	Professional	26	$120.31	$141.04	$164.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $289.91 / $326.33 / $410.87	Professional	TC	$289.91	$326.33	$410.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $444.05 / $470.96 / $561.07	Professional		$444.05	$470.96	$561.07
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $133.44 / $141.52 / $161.74	Professional	26	$133.44	$141.52	$161.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $310.63 / $329.46 / $376.52	Professional	TC	$310.63	$329.46	$376.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $264.51 / $431.99	Professional		$32.34	$264.51	$431.99
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $516.30 / $516.30 / $516.30	Facility	26	$516.30	$516.30	$516.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $460.86 / $460.86 / $561.08	Professional		$460.86	$460.86	$561.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $126.85 / $126.85 / $159.97	Professional	26	$126.85	$126.85	$159.97
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $334.01 / $334.01 / $401.10	Professional	TC	$334.01	$334.01	$401.10
United Facility/Professional Professional Modifier Low / Median / High Price $282.72 / $387.45 / $609.03	Professional		$282.72	$387.45	$609.03
United Facility/Professional Professional Modifier 26 Low / Median / High Price $87.70 / $122.50 / $179.83	Professional	26	$87.70	$122.50	$179.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $167.46 / $273.14 / $429.20	Professional	TC	$167.46	$273.14	$429.20