Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.13 / $74.13 / $93.44	Facility	26	$74.13	$74.13	$93.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $120.26 / $546.92	Professional		$68.34	$120.26	$546.92
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.73 / $68.03 / $529.88	Professional	26	$28.73	$68.03	$529.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $35.34 / $44.02 / $68.95	Professional	TC	$35.34	$44.02	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $104.11 / $125.19	Professional		$80.48	$104.11	$125.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $40.00 / $52.88 / $60.62	Professional	26	$40.00	$52.88	$60.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $41.61 / $51.23 / $65.47	Professional	TC	$41.61	$51.23	$65.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $107.81 / $130.68 / $155.22	Professional		$107.81	$130.68	$155.22
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $52.83 / $56.04 / $64.04	Professional	26	$52.83	$56.04	$64.04
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $54.98 / $58.31 / $66.64	Professional	TC	$54.98	$58.31	$66.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $46.67 / $118.17	Professional		$32.34	$46.67	$118.17
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 $125.10 / $135.63 / $155.22	Professional		$125.10	$135.63	$155.22
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $62.23 / $66.44 / $79.50	Professional	26	$62.23	$66.44	$79.50
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $62.87 / $69.19 / $75.73	Professional	TC	$62.87	$69.19	$75.73
United Facility/Professional Professional Modifier Low / Median / High Price $71.44 / $84.66 / $145.26	Professional		$71.44	$84.66	$145.26
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.34 / $40.27 / $66.34	Professional	26	$35.34	$40.27	$66.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $36.10 / $46.37 / $78.34	Professional	TC	$36.10	$46.37	$78.34