Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.29 / $512.29 / $645.75	Facility	26	$512.29	$512.29	$645.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.30 / $570.04 / $1,041.98	Professional		$503.30	$570.04	$1,041.98
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $210.53 / $358.72 / $546.21	Professional	26	$210.53	$358.72	$546.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $283.56 / $347.18 / $449.00	Professional	TC	$283.56	$347.18	$449.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.37 / $757.78 / $913.80	Professional		$591.37	$757.78	$913.80
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $278.57 / $364.82 / $439.93	Professional	26	$278.57	$364.82	$439.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $327.52 / $398.21 / $473.86	Professional	TC	$327.52	$398.21	$473.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $778.70 / $825.90 / $1,128.47	Professional		$778.70	$825.90	$1,128.47
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.46 / $385.49 / $440.56	Professional	26	$363.46	$385.49	$440.56
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $415.24 / $440.41 / $503.32	Professional	TC	$415.24	$440.41	$503.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $410.12 / $853.73	Professional		$32.34	$410.12	$853.73
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,448.63 / $2,448.63 / $2,448.63	Facility	26	$2,448.63	$2,448.63	$2,448.63
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $907.42 / $987.77 / $1,128.47	Professional		$907.42	$987.77	$1,128.47
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $425.45 / $458.95 / $547.63	Professional	26	$425.45	$458.95	$547.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $481.97 / $528.82 / $580.84	Professional	TC	$481.97	$528.82	$580.84
United Facility/Professional Professional Modifier Low / Median / High Price $524.40 / $625.01 / $1,072.35	Professional		$524.40	$625.01	$1,072.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $244.72 / $290.52 / $484.14	Professional	26	$244.72	$290.52	$484.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $279.68 / $343.77 / $589.83	Professional	TC	$279.68	$343.77	$589.83