Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $831.76	Professional		$316.23	$501.19	$831.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $134.90 / $239.88	Professional	26	$97.72	$134.90	$239.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.78 / $371.54 / $588.84	Professional	TC	$218.78	$371.54	$588.84
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	26	$1,122.02	$1,122.02	$1,122.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $676.08	Professional		$549.54	$645.65	$676.08
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $173.78 / $204.17 / $208.93	Professional	26	$173.78	$204.17	$208.93
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $446.68 / $457.09	Professional	TC	$380.19	$446.68	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $691.83	Professional		$371.54	$562.34	$691.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.89 / $177.83 / $204.17	Professional	26	$125.89	$177.83	$204.17
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $245.47 / $380.19 / $489.78	Professional	TC	$245.47	$380.19	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $741.31	Professional		$371.54	$575.44	$741.31
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $186.21 / $213.80	Professional	26	$117.49	$186.21	$213.80
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $398.11 / $537.03	Professional	TC	$251.19	$398.11	$537.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility	26	$1,122.02	$1,122.02	$1,122.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $562.34 / $691.83	Professional		$512.86	$562.34	$691.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $141.25 / $165.96 / $204.17	Professional	26	$141.25	$165.96	$204.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $363.08 / $398.11 / $489.78	Professional	TC	$363.08	$398.11	$489.78
Select Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $316.23 / $1,698.24	Professional		$309.03	$316.23	$1,698.24
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $100.00 / $204.17	Professional	26	$100.00	$100.00	$204.17
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $208.93 / $208.93 / $489.78	Professional	TC	$208.93	$208.93	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $446.68 / $707.95	Professional		$323.59	$446.68	$707.95
United Facility/Professional Professional Modifier 26 Low / Median / High Price $114.82 / $154.88 / $218.78	Professional	26	$114.82	$154.88	$218.78
United Facility/Professional Professional Modifier TC Low / Median / High Price $199.53 / $288.40 / $467.74	Professional	TC	$199.53	$288.40	$467.74