Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $187.22 / $187.22 / $235.99	Facility	26	$187.22	$187.22	$235.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $541.15 / $991.85	Professional		$481.64	$541.15	$991.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.87 / $130.69 / $196.19	Professional	26	$71.87	$130.69	$196.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $413.91 / $515.29 / $804.63	Professional	TC	$413.91	$515.29	$804.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $538.33 / $757.03 / $912.88	Professional		$538.33	$757.03	$912.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $100.00 / $132.79 / $152.22	Professional	26	$100.00	$132.79	$152.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $436.49 / $624.24 / $752.76	Professional	TC	$436.49	$624.24	$752.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $705.57 / $847.67 / $1,051.91	Professional		$705.57	$847.67	$1,051.91
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $132.36 / $140.38 / $160.44	Professional	26	$132.36	$140.38	$160.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $573.21 / $607.95 / $694.80	Professional	TC	$573.21	$607.95	$694.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $118.75 / $763.66	Professional		$32.34	$118.75	$763.66
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $657.04 / $657.04 / $657.04	Facility	26	$657.04	$657.04	$657.04
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $859.79 / $919.96 / $1,051.91	Professional		$859.79	$919.96	$1,051.91
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $155.58 / $167.83 / $200.01	Professional	26	$155.58	$167.83	$200.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $704.22 / $752.13 / $851.90	Professional	TC	$704.22	$752.13	$851.90
United Facility/Professional Professional Modifier Low / Median / High Price $478.28 / $670.11 / $1,120.81	Professional		$478.28	$670.11	$1,120.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $89.68 / $102.21 / $164.24	Professional	26	$89.68	$102.21	$164.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $445.36 / $574.38 / $954.58	Professional	TC	$445.36	$574.38	$954.58