Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.43 / $515.89 / $827.55	Professional		$464.43	$515.89	$827.55
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.50 / $137.65 / $241.82	Professional	26	$132.50	$137.65	$241.82
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.93 / $381.64 / $585.72	Professional	TC	$331.93	$381.64	$585.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.31 / $573.82 / $691.96	Professional		$506.31	$573.82	$691.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $150.13 / $178.69 / $205.19	Professional	26	$150.13	$178.69	$205.19
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $336.97 / $377.03 / $486.77	Professional	TC	$336.97	$377.03	$486.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $544.92 / $577.96 / $660.52	Professional		$544.92	$577.96	$660.52
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $167.05 / $167.05 / $202.48	Professional	26	$167.05	$167.05	$202.48
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $377.87 / $377.87 / $458.02	Professional	TC	$377.87	$377.87	$458.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $321.86 / $529.69	Professional		$32.34	$321.86	$529.69
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,115.05 / $1,115.05 / $1,115.05	Facility	26	$1,115.05	$1,115.05	$1,115.05
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $561.63 / $561.63 / $680.83	Professional		$561.63	$561.63	$680.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $160.10 / $160.10 / $199.39	Professional	26	$160.10	$160.10	$199.39
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $401.53 / $401.53 / $481.44	Professional	TC	$401.53	$401.53	$481.44
United Facility/Professional Professional Modifier Low / Median / High Price $334.79 / $426.88 / $714.56	Professional		$334.79	$426.88	$714.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.16 / $154.02 / $227.93	Professional	26	$111.16	$154.02	$227.93
United Facility/Professional Professional Modifier TC Low / Median / High Price $200.54 / $290.48 / $468.93	Professional	TC	$200.54	$290.48	$468.93