Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $232.43 / $232.43 / $287.39	Facility	26	$232.43	$232.43	$287.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.65 / $268.31 / $333.15	Professional		$174.65	$268.31	$333.15
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.82 / $79.39 / $191.60	Professional	26	$56.82	$79.39	$191.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $80.11 / $141.55 / $232.83	Professional	TC	$80.11	$141.55	$232.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.59 / $282.02 / $363.45	Professional		$199.59	$282.02	$363.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $76.65 / $143.02 / $177.24	Professional	26	$76.65	$143.02	$177.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $92.93 / $124.63 / $209.52	Professional	TC	$92.93	$124.63	$209.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $596.87 / $596.87 / $662.58	Professional		$596.87	$596.87	$662.58
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $225.22 / $225.22 / $509.74	Professional	26	$225.22	$225.22	$509.74
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $87.13 / $87.13 / $437.36	Professional	TC	$87.13	$87.13	$437.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.92 / $299.31 / $383.22	Professional		$259.92	$299.31	$383.22
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $145.71 / $154.54 / $176.62	Professional	26	$145.71	$154.54	$176.62
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $114.21 / $131.52 / $153.66	Professional	TC	$114.21	$131.52	$153.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $121.99 / $283.86	Professional		$32.34	$121.99	$283.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,551.62 / $5,551.62 / $5,551.62	Facility	26	$5,551.62	$5,551.62	$5,551.62
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $334.28 / $383.22	Professional		$284.14	$334.28	$383.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $158.37 / $186.32 / $218.70	Professional	26	$158.37	$186.32	$218.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $125.77 / $147.96 / $164.53	Professional	TC	$125.77	$147.96	$164.53
United Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $245.75 / $460.67	Professional		$178.28	$245.75	$460.67
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.33 / $98.82 / $156.47	Professional	26	$64.33	$98.82	$156.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $80.48 / $151.63 / $328.65	Professional	TC	$80.48	$151.63	$328.65