Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $178.47 / $301.61 / $437.35	Facility	26	$178.47	$301.61	$437.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $1,181.08	Professional		$475.00	$522.50	$1,181.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $154.00 / $349.88	Professional	26	$140.00	$154.00	$349.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $831.21	Professional	TC	$335.00	$368.50	$831.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.54 / $804.23 / $900.00	Professional		$328.54	$804.23	$900.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.87 / $196.17 / $270.00	Professional	26	$84.87	$196.17	$270.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $243.67 / $608.05 / $630.00	Professional	TC	$243.67	$608.05	$630.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $525.41 / $636.57 / $1,562.00	Professional		$525.41	$636.57	$1,562.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $135.85 / $167.00 / $412.34	Professional	26	$135.85	$167.00	$412.34
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $365.84 / $473.55 / $964.92	Professional	TC	$365.84	$473.55	$964.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $820.00 / $1,085.47 / $1,582.27	Professional		$820.00	$1,085.47	$1,582.27
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $210.00 / $226.80 / $379.95	Professional	26	$210.00	$226.80	$379.95
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $610.00 / $854.00 / $1,215.50	Professional	TC	$610.00	$854.00	$1,215.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $305.47 / $900.00 / $1,542.15	Professional		$305.47	$900.00	$1,542.15
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $183.44 / $255.00 / $379.95	Professional	26	$183.44	$255.00	$379.95
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $621.25 / $818.26 / $1,514.00	Professional	TC	$621.25	$818.26	$1,514.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.26 / $745.26 / $1,564.38	Professional		$587.26	$745.26	$1,564.38
United Facility/Professional Professional Modifier 26 Low / Median / High Price $82.03 / $175.11 / $448.33	Professional	26	$82.03	$175.11	$448.33
United Facility/Professional Professional Modifier TC Low / Median / High Price $418.96 / $608.20 / $1,116.05	Professional	TC	$418.96	$608.20	$1,116.05