Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $269.63 / $479.58 / $608.55	Facility	26	$269.63	$479.58	$608.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.89 / $482.75 / $1,104.96	Professional		$392.89	$482.75	$1,104.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.98 / $111.94 / $383.67	Professional	26	$82.98	$111.94	$383.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $309.93 / $385.85 / $661.64	Professional	TC	$309.93	$385.85	$661.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $431.23 / $920.00 / $1,084.61	Professional		$431.23	$920.00	$1,084.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $130.97 / $276.00 / $296.18	Professional	26	$130.97	$276.00	$296.18
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $300.26 / $644.00 / $791.05	Professional	TC	$300.26	$644.00	$791.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $694.39 / $833.58 / $1,811.81	Professional		$694.39	$833.58	$1,811.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $207.83 / $254.14 / $624.97	Professional	26	$207.83	$254.14	$624.97
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $462.07 / $584.19 / $1,186.84	Professional	TC	$462.07	$584.19	$1,186.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.50 / $1,169.09 / $1,906.46	Professional		$1,062.50	$1,169.09	$1,906.46
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $321.25 / $346.95 / $576.63	Professional	26	$321.25	$346.95	$576.63
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $752.50 / $824.85 / $1,329.83	Professional	TC	$752.50	$824.85	$1,329.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $401.87 / $1,062.50 / $1,782.90	Professional		$401.87	$1,062.50	$1,782.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $276.00 / $387.00 / $576.63	Professional	26	$276.00	$387.00	$576.63
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $681.10 / $892.50 / $1,329.83	Professional	TC	$681.10	$892.50	$1,329.83
United Facility/Professional Professional Modifier Low / Median / High Price $734.90 / $1,094.16 / $1,756.41	Professional		$734.90	$1,094.16	$1,756.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $129.47 / $383.10 / $610.41	Professional	26	$129.47	$383.10	$610.41
United Facility/Professional Professional Modifier TC Low / Median / High Price $473.90 / $710.85 / $1,066.33	Professional	TC	$473.90	$710.85	$1,066.33