Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $212.41 / $219.44 / $219.44	Facility	26	$212.41	$219.44	$219.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.62 / $323.45 / $501.96	Professional		$264.62	$323.45	$501.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $73.00 / $86.00 / $184.41	Professional	26	$73.00	$86.00	$184.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $191.62 / $238.57 / $317.55	Professional	TC	$191.62	$238.57	$317.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $237.32 / $486.83	Professional		$212.34	$237.32	$486.83
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $68.77 / $76.86 / $156.34	Professional	26	$68.77	$76.86	$156.34
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $143.57 / $160.46 / $329.16	Professional	TC	$143.57	$160.46	$329.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.50 / $1,015.50 / $1,127.30	Professional		$1,015.50	$1,015.50	$1,127.30
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $656.51 / $656.51 / $656.51	Professional	26	$656.51	$656.51	$656.51
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $358.99 / $358.99 / $358.99	Professional	TC	$358.99	$358.99	$358.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $370.39 / $426.51 / $551.95	Professional		$370.39	$426.51	$551.95
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $130.22 / $138.13 / $157.86	Professional	26	$130.22	$138.13	$157.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $240.17 / $254.73 / $291.12	Professional	TC	$240.17	$254.73	$291.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $147.93 / $363.28	Professional		$32.34	$147.93	$363.28
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $346.39 / $346.39 / $346.39	Facility	26	$346.39	$346.39	$346.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $407.58 / $479.50 / $551.95	Professional		$407.58	$479.50	$551.95
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $141.49 / $166.46 / $201.37	Professional	26	$141.49	$166.46	$201.37
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $266.08 / $313.05 / $350.58	Professional	TC	$266.08	$313.05	$350.58
United Facility/Professional Professional Modifier Low / Median / High Price $215.04 / $266.47 / $534.19	Professional		$215.04	$266.47	$534.19
United Facility/Professional Professional Modifier 26 Low / Median / High Price $70.31 / $93.48 / $170.12	Professional	26	$70.31	$93.48	$170.12
United Facility/Professional Professional Modifier TC Low / Median / High Price $139.58 / $196.15 / $345.77	Professional	TC	$139.58	$196.15	$345.77