Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.28 / $293.14 / $293.14	Facility	26	$112.28	$293.14	$293.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $494.18 / $1,005.17	Professional		$425.00	$494.18	$1,005.17
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $87.72 / $140.00 / $246.35	Professional	26	$87.72	$140.00	$246.35
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $348.53 / $758.82	Professional	TC	$335.00	$348.53	$758.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.77 / $310.45 / $723.63	Professional		$277.77	$310.45	$723.63
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.76 / $72.38 / $146.55	Professional	26	$64.76	$72.38	$146.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $213.02 / $238.08 / $588.29	Professional	TC	$213.02	$238.08	$588.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,736.61 / $1,736.61 / $2,336.30	Professional		$1,736.61	$1,736.61	$2,336.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $628.50 / $628.50 / $629.79	Professional	26	$628.50	$628.50	$629.79
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,106.82 / $1,106.82 / $1,707.80	Professional	TC	$1,106.82	$1,106.82	$1,707.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $507.03 / $583.85 / $767.59	Professional		$507.03	$583.85	$767.59
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $122.22 / $140.72 / $164.44	Professional	26	$122.22	$140.72	$164.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $384.81 / $443.12 / $517.75	Professional	TC	$384.81	$443.12	$517.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $138.59 / $494.20	Professional		$32.34	$138.59	$494.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,387.45 / $1,387.45 / $1,387.45	Facility	26	$1,387.45	$1,387.45	$1,387.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $563.62 / $663.08 / $767.59	Professional		$563.62	$663.08	$767.59
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $132.75 / $156.18 / $188.64	Professional	26	$132.75	$156.18	$188.64
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $430.87 / $506.90 / $578.95	Professional	TC	$430.87	$506.90	$578.95
United Facility/Professional Professional Modifier Low / Median / High Price $316.27 / $446.50 / $905.24	Professional		$316.27	$446.50	$905.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.98 / $83.73 / $157.76	Professional	26	$67.98	$83.73	$157.76
United Facility/Professional Professional Modifier TC Low / Median / High Price $245.10 / $361.36 / $738.33	Professional	TC	$245.10	$361.36	$738.33