Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.18 / $495.20 / $815.76	Facility		$234.18	$495.20	$815.76
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.86 / $67.29 / $75.51	Facility	26	$38.86	$67.29	$75.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.17 / $163.47 / $266.95	Professional		$75.17	$163.47	$266.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.28 / $36.89 / $64.45	Professional	26	$25.28	$36.89	$64.45
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $49.89 / $126.58 / $211.37	Professional	TC	$49.89	$126.58	$211.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.76 / $173.05 / $217.02	Professional		$148.76	$173.05	$217.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.22 / $48.03 / $53.62	Professional	26	$39.22	$48.03	$53.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $95.83 / $123.21 / $163.40	Professional	TC	$95.83	$123.21	$163.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.30 / $164.32 / $299.75	Facility		$111.30	$164.32	$299.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $193.03 / $220.60	Professional		$182.00	$193.03	$220.60
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $42.16 / $44.71 / $51.10	Professional	26	$42.16	$44.71	$51.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $139.84 / $148.31 / $169.50	Professional	TC	$139.84	$148.31	$169.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.54 / $197.30	Professional		$32.34	$47.54	$197.30
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $222.25 / $238.38 / $272.13	Professional		$222.25	$238.38	$272.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.80 / $54.12 / $64.92	Professional	26	$50.80	$54.12	$64.92
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $171.45 / $184.27 / $207.20	Professional	TC	$171.45	$184.27	$207.20
United Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $110.07 / $177.11	Professional		$78.29	$110.07	$177.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.23 / $28.64 / $53.72	Professional	26	$27.23	$28.64	$53.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $51.06 / $81.56 / $115.51	Professional	TC	$51.06	$81.56	$115.51