Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $200.49 / $469.48 / $491.26	Facility	26	$200.49	$469.48	$491.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.00 / $522.50 / $1,426.00	Professional		$383.00	$522.50	$1,426.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $154.00 / $393.01	Professional	26	$140.00	$154.00	$393.01
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $842.82	Professional	TC	$335.00	$368.50	$842.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.85 / $839.77 / $900.00	Professional		$338.85	$839.77	$900.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.16 / $219.65 / $270.00	Professional	26	$96.16	$219.65	$270.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $242.69 / $620.12 / $630.00	Professional	TC	$242.69	$620.12	$630.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $545.58 / $656.97 / $1,435.28	Professional		$545.58	$656.97	$1,435.28
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $153.65 / $188.51 / $463.65	Professional	26	$153.65	$188.51	$463.65
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $365.44 / $472.59 / $971.63	Professional	TC	$365.44	$472.59	$971.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.25 / $1,034.59 / $1,740.00	Professional		$846.25	$1,034.59	$1,740.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $237.50 / $256.50 / $434.25	Professional	26	$237.50	$256.50	$434.25
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $608.75 / $819.52 / $1,354.00	Professional	TC	$608.75	$819.52	$1,354.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $318.35 / $900.00 / $1,620.38	Professional		$318.35	$900.00	$1,620.38
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $206.96 / $286.50 / $426.89	Professional	26	$206.96	$286.50	$426.89
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $625.00 / $819.52 / $1,354.00	Professional	TC	$625.00	$819.52	$1,354.00
United Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $929.46 / $1,285.04	Professional		$619.64	$929.46	$1,285.04
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.89 / $284.07 / $402.44	Professional	26	$91.89	$284.07	$402.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $430.26 / $645.39 / $914.30	Professional	TC	$430.26	$645.39	$914.30