Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $129.85 / $228.92 / $288.55	Facility	26	$129.85	$228.92	$288.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.50 / $451.50 / $557.54	Professional		$314.50	$451.50	$557.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.83 / $104.31 / $221.39	Professional	26	$82.83	$104.31	$221.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $217.28 / $350.77 / $385.85	Professional	TC	$217.28	$350.77	$385.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.07 / $262.73 / $637.90	Professional		$235.07	$262.73	$637.90
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $72.00 / $80.47 / $165.07	Professional	26	$72.00	$80.47	$165.07
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $163.08 / $182.26 / $487.79	Professional	TC	$163.08	$182.26	$487.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,254.52 / $1,254.52 / $1,314.48	Professional		$1,254.52	$1,254.52	$1,314.48
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $343.95 / $343.95 / $359.58	Professional	26	$343.95	$343.95	$359.58
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $894.94 / $894.94 / $970.53	Professional	TC	$894.94	$894.94	$970.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $458.47 / $527.92 / $684.06	Professional		$458.47	$527.92	$684.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $137.16 / $157.94 / $184.55	Professional	26	$137.16	$157.94	$184.55
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $321.30 / $369.99 / $432.30	Professional	TC	$321.30	$369.99	$432.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $142.77 / $469.66	Professional		$32.34	$142.77	$469.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $476.99 / $593.21 / $684.06	Professional		$476.99	$593.21	$684.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $148.47 / $174.68 / $210.46	Professional	26	$148.47	$174.68	$210.46
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $350.00 / $418.54 / $473.60	Professional	TC	$350.00	$418.54	$473.60
United Facility/Professional Professional Modifier Low / Median / High Price $261.66 / $379.58 / $760.96	Professional		$261.66	$379.58	$760.96
United Facility/Professional Professional Modifier 26 Low / Median / High Price $79.14 / $98.04 / $195.17	Professional	26	$79.14	$98.04	$195.17
United Facility/Professional Professional Modifier TC Low / Median / High Price $182.52 / $300.02 / $601.46	Professional	TC	$182.52	$300.02	$601.46