Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.06 / $71.06 / $71.06	Facility	26	$71.06	$71.06	$71.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.79 / $114.50 / $181.62	Professional		$95.79	$114.50	$181.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.30 / $84.97 / $122.71	Professional	TC	$67.30	$84.97	$122.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.01 / $145.93 / $175.97	Professional		$103.01	$145.93	$175.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $69.58 / $98.57 / $118.86	Professional	TC	$69.58	$98.57	$118.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $168.80 / $168.80 / $187.38	Professional		$168.80	$168.80	$187.38
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.29 / $72.29 / $87.44	Professional	26	$72.29	$72.29	$87.44
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $81.36 / $81.36 / $115.09	Professional	TC	$81.36	$81.36	$115.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.88 / $162.24 / $210.99	Professional		$140.88	$162.24	$210.99
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $97.14 / $111.85 / $130.69	Professional	TC	$97.14	$111.85	$130.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $44.42 / $153.15	Professional		$32.34	$44.42	$153.15
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $183.58 / $210.98	Professional		$156.04	$183.58	$210.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $108.30 / $127.41 / $142.62	Professional	TC	$108.30	$127.41	$142.62
United Facility/Professional Professional Modifier Low / Median / High Price $99.25 / $119.10 / $198.50	Professional		$99.25	$119.10	$198.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $67.48 / $83.05 / $153.56	Professional	TC	$67.48	$83.05	$153.56