Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.81 / $521.32 / $834.25	Professional		$339.81	$521.32	$834.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $105.87 / $131.32 / $238.16	Professional	26	$105.87	$131.32	$238.16
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $150.02 / $150.02 / $150.02	Professional	52	$150.02	$150.02	$150.02
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $229.43 / $390.00 / $596.09	Professional	TC	$229.43	$390.00	$596.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.62 / $579.84 / $699.22	Professional		$511.62	$579.84	$699.22
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $147.65 / $173.49 / $201.78	Professional	26	$147.65	$173.49	$201.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $340.19 / $389.56 / $497.44	Professional	TC	$340.19	$389.56	$497.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $542.26 / $575.12 / $657.28	Professional		$542.26	$575.12	$657.28
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $163.32 / $163.32 / $197.96	Professional	26	$163.32	$163.32	$197.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $378.94 / $378.94 / $459.32	Professional	TC	$378.94	$378.94	$459.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $322.77 / $528.13	Professional		$32.34	$322.77	$528.13
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 $558.04 / $558.04 / $679.92	Professional		$558.04	$558.04	$679.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $156.01 / $156.01 / $196.03	Professional	26	$156.01	$156.01	$196.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $402.04 / $402.04 / $483.89	Professional	TC	$402.04	$402.04	$483.89
United Facility/Professional Professional Modifier Low / Median / High Price $337.82 / $450.01 / $726.62	Professional		$337.82	$450.01	$726.62
United Facility/Professional Professional Modifier 26 Low / Median / High Price $108.99 / $159.41 / $223.48	Professional	26	$108.99	$159.41	$223.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $223.82 / $296.13 / $475.09	Professional	TC	$223.82	$296.13	$475.09