Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $117.32 / $117.32 / $117.32	Facility	26	$117.32	$117.32	$117.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.38 / $255.27 / $299.45	Professional		$220.38	$255.27	$299.45
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $80.09 / $97.87 / $117.32	Professional	26	$80.09	$97.87	$117.32
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $140.29 / $157.40 / $182.17	Professional	TC	$140.29	$157.40	$182.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $299.45 / $299.45 / $299.45	Professional		$299.45	$299.45	$299.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $81.70 / $208.55	Professional		$32.34	$81.70	$208.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $229.24 / $245.92 / $283.44	Professional		$229.24	$245.92	$283.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $84.46 / $91.11 / $108.53	Professional	26	$84.46	$91.11	$108.53
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $144.78 / $154.81 / $174.91	Professional	TC	$144.78	$154.81	$174.91
United Facility/Professional Professional Modifier Low / Median / High Price $105.83 / $149.41 / $262.61	Professional		$105.83	$149.41	$262.61
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.59 / $55.43 / $87.03	Professional	26	$35.59	$55.43	$87.03
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.56 / $93.98 / $173.41	Professional	TC	$66.56	$93.98	$173.41