Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $325.79 / $720.37 / $798.34	Facility	26	$325.79	$720.37	$798.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $475.00 / $522.50 / $1,881.42	Professional		$475.00	$522.50	$1,881.42
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $140.00 / $154.00 / $638.67	Professional	26	$140.00	$154.00	$638.67
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $335.00 / $368.50 / $1,242.74	Professional	TC	$335.00	$368.50	$1,242.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $515.79 / $1,125.00 / $1,273.72	Professional		$515.79	$1,125.00	$1,273.72
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $158.44 / $337.50 / $357.00	Professional	26	$158.44	$337.50	$357.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $357.34 / $787.50 / $916.98	Professional	TC	$357.34	$787.50	$916.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $831.30 / $997.56 / $2,184.21	Professional		$831.30	$997.56	$2,184.21
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $251.50 / $307.49 / $755.92	Professional	26	$251.50	$307.49	$755.92
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $538.02 / $695.76 / $1,428.24	Professional	TC	$538.02	$695.76	$1,428.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,285.00 / $1,490.60 / $2,460.73	Professional		$1,285.00	$1,490.60	$2,460.73
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $388.75 / $419.90 / $692.85	Professional	26	$388.75	$419.90	$692.85
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $896.25 / $1,136.80 / $1,767.89	Professional	TC	$896.25	$1,136.80	$1,767.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $484.46 / $1,303.75 / $2,428.90	Professional		$484.46	$1,303.75	$2,428.90
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $337.50 / $465.00 / $692.85	Professional	26	$337.50	$465.00	$692.85
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $833.00 / $1,186.50 / $1,794.00	Professional	TC	$833.00	$1,186.50	$1,794.00
United Facility/Professional Professional Modifier Low / Median / High Price $945.50 / $1,418.25 / $2,009.19	Professional		$945.50	$1,418.25	$2,009.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $154.00 / $461.76 / $654.16	Professional	26	$154.00	$461.76	$654.16
United Facility/Professional Professional Modifier TC Low / Median / High Price $637.66 / $956.49 / $1,457.05	Professional	TC	$637.66	$956.49	$1,457.05