Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.84 / $71.84 / $71.84	Facility	26	$71.84	$71.84	$71.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.98 / $410.98 / $607.73	Professional		$410.98	$410.98	$607.73
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $331.85 / $331.85 / $514.25	Professional	TC	$331.85	$331.85	$514.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.53 / $301.74 / $511.34	Professional		$208.53	$301.74	$511.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $173.70 / $227.24 / $432.49	Professional	TC	$173.70	$227.24	$432.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $337.20 / $404.64 / $860.86	Professional		$337.20	$404.64	$860.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $267.01 / $337.71 / $819.33	Professional	TC	$267.01	$337.71	$819.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $573.75 / $818.01	Professional		$426.25	$573.75	$818.01
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $340.00 / $481.95 / $666.03	Professional	TC	$340.00	$481.95	$666.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $184.82 / $426.25 / $747.32	Professional		$184.82	$426.25	$747.32
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $283.61 / $447.00 / $666.03	Professional	TC	$283.61	$447.00	$666.03
United Facility/Professional Professional Modifier Low / Median / High Price $149.34 / $365.16 / $728.37	Professional		$149.34	$365.16	$728.37
United Facility/Professional Professional Modifier TC Low / Median / High Price $116.05 / $293.91 / $538.84	Professional	TC	$116.05	$293.91	$538.84