Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.25 / $4,500.00 / $7,045.00	Facility		$191.25	$4,500.00	$7,045.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.68 / $265.13 / $443.59	Professional		$152.68	$265.13	$443.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.96 / $49.81 / $91.10	Professional	26	$41.96	$49.81	$91.10
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $108.87 / $215.33 / $352.49	Professional	TC	$108.87	$215.33	$352.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $291.36 / $351.34	Professional		$238.97	$291.36	$351.34
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.03 / $65.95 / $76.58	Professional	26	$56.03	$65.95	$76.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $117.40 / $201.05 / $274.77	Professional	TC	$117.40	$201.05	$274.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.42 / $339.37 / $526.57	Facility		$191.42	$339.37	$526.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $281.91 / $322.18	Professional		$265.80	$281.91	$322.18
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $62.45 / $66.23 / $75.70	Professional	26	$62.45	$66.23	$75.70
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $203.35 / $215.67 / $246.48	Professional	TC	$203.35	$215.67	$246.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $69.67 / $258.35	Professional		$32.34	$69.67	$258.35
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $290.02 / $290.02 / $357.88	Professional		$290.02	$290.02	$357.88
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $59.85 / $59.85 / $75.14	Professional	26	$59.85	$59.85	$75.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $230.18 / $230.18 / $282.74	Professional	TC	$230.18	$230.18	$282.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $198.15 / $341.13	Professional		$120.08	$198.15	$341.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.78 / $61.48 / $94.18	Professional	26	$42.78	$61.48	$94.18
United Facility/Professional Professional Modifier TC Low / Median / High Price $100.50 / $144.90 / $255.30	Professional	TC	$100.50	$144.90	$255.30