Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $76.50 / $85.75 / $97.55	Facility	26	$76.50	$85.75	$97.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $307.08 / $487.53	Professional		$191.65	$307.08	$487.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $32.20 / $72.06 / $87.58	Professional	26	$32.20	$72.06	$87.58
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $159.46 / $269.83 / $473.63	Professional	TC	$159.46	$269.83	$473.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $409.90 / $499.27	Professional		$243.00	$409.90	$499.27
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.00 / $61.24 / $70.20	Professional	26	$45.00	$61.24	$70.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $198.00 / $352.27 / $429.07	Professional	TC	$198.00	$352.27	$429.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $429.12 / $455.12 / $624.97	Professional		$429.12	$455.12	$624.97
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $60.31 / $63.96 / $73.09	Professional	26	$60.31	$63.96	$73.09
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $368.79 / $391.14 / $447.02	Professional	TC	$368.79	$391.14	$447.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.00 / $463.13	Professional		$32.34	$54.00	$463.13
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $246.13 / $246.13 / $246.13	Facility	26	$246.13	$246.13	$246.13
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $512.45 / $553.48 / $624.97	Professional		$512.45	$553.48	$624.97
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $71.76 / $76.72 / $91.77	Professional	26	$71.76	$76.72	$91.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $440.69 / $476.76 / $533.21	Professional	TC	$440.69	$476.76	$533.21
United Facility/Professional Professional Modifier Low / Median / High Price $234.44 / $339.96 / $533.79	Professional		$234.44	$339.96	$533.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.67 / $45.65 / $74.56	Professional	26	$40.67	$45.65	$74.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $191.46 / $293.62 / $461.02	Professional	TC	$191.46	$293.62	$461.02