Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $13.07 / $17.32 / $38.76	Facility	26	$13.07	$17.32	$38.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $26.10 / $65.50	Professional		$18.73	$26.10	$65.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $6.41 / $9.08 / $36.68	Professional	26	$6.41	$9.08	$36.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $18.09 / $41.57	Professional	TC	$12.47	$18.09	$41.57
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $45.24 / $67.58	Professional		$24.43	$45.24	$67.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $8.44 / $14.83 / $21.59	Professional	26	$8.44	$14.83	$21.59
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.92 / $30.58 / $46.78	Professional	TC	$16.92	$30.58	$46.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $56.94 / $65.70	Professional		$47.91	$56.94	$65.70
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $14.67 / $17.55 / $19.76	Professional	26	$14.67	$17.55	$19.76
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $32.81 / $39.18 / $45.95	Professional	TC	$32.81	$39.18	$45.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $41.32 / $73.28	Professional		$36.21	$41.32	$73.28
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $12.28 / $15.96 / $23.37	Professional	26	$12.28	$15.96	$23.37
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $26.68 / $32.33 / $51.84	Professional	TC	$26.68	$32.33	$51.84
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $10.78 / $14.74 / $15.41	Facility	26	$10.78	$14.74	$15.41
Pacific Source Facility/Professional Professional Modifier 26 Low / Median / High Price $9.24 / $13.27 / $15.88	Professional	26	$9.24	$13.27	$15.88
Pacific Source Facility/Professional Professional Modifier TC Low / Median / High Price $18.09 / $26.00 / $34.53	Professional	TC	$18.09	$26.00	$34.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $8.86 / $8.86 / $8.86	Facility	26	$8.86	$8.86	$8.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $52.38 / $69.34	Professional		$36.58	$52.38	$69.34
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $10.37 / $15.02 / $21.75	Professional	26	$10.37	$15.02	$21.75
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $22.01 / $33.29 / $46.78	Professional	TC	$22.01	$33.29	$46.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $209.36 / $209.36 / $209.36	Facility	26	$209.36	$209.36	$209.36
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $50.74 / $67.45	Professional		$43.31	$50.74	$67.45
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $13.53 / $15.99 / $21.79	Professional	26	$13.53	$15.99	$21.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $29.56 / $34.25 / $46.40	Professional	TC	$29.56	$34.25	$46.40
United Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $29.16 / $70.17	Professional		$22.25	$29.16	$70.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $7.88 / $10.25 / $23.77	Professional	26	$7.88	$10.25	$23.77
United Facility/Professional Professional Modifier TC Low / Median / High Price $14.01 / $19.97 / $46.44	Professional	TC	$14.01	$19.97	$46.44