Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $953.33 / $953.33 / $1,201.68	Facility	26	$953.33	$953.33	$1,201.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,889.42 / $2,171.61 / $4,609.02	Professional		$1,889.42	$2,171.61	$4,609.02
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $368.80 / $801.12 / $1,003.14	Professional	26	$368.80	$801.12	$1,003.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $1,542.03 / $1,745.82 / $2,517.02	Professional	TC	$1,542.03	$1,745.82	$2,517.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,369.01 / $2,928.13 / $3,530.98	Professional		$2,369.01	$2,928.13	$3,530.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $509.00 / $680.11 / $779.65	Professional	26	$509.00	$680.11	$779.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,861.00 / $2,248.02 / $2,710.85	Professional	TC	$1,861.00	$2,248.02	$2,710.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,966.40 / $3,595.64 / $4,272.39	Professional		$2,966.40	$3,595.64	$4,272.39
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $678.35 / $719.46 / $822.24	Professional	26	$678.35	$719.46	$822.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $2,288.04 / $2,426.71 / $2,773.38	Professional	TC	$2,288.04	$2,426.71	$2,773.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,943.56 / $3,209.86	Professional		$32.34	$1,943.56	$3,209.86
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 $3,488.69 / $3,792.16 / $4,272.39	Professional		$3,488.69	$3,792.16	$4,272.39
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $793.12 / $855.57 / $1,020.64	Professional	26	$793.12	$855.57	$1,020.64
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $2,695.58 / $2,936.60 / $3,251.75	Professional	TC	$2,695.58	$2,936.60	$3,251.75
United Facility/Professional Professional Modifier Low / Median / High Price $2,052.37 / $2,480.91 / $4,197.64	Professional		$2,052.37	$2,480.91	$4,197.64
United Facility/Professional Professional Modifier 26 Low / Median / High Price $455.61 / $519.25 / $844.62	Professional	26	$455.61	$519.25	$844.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,596.76 / $1,988.63 / $3,412.00	Professional	TC	$1,596.76	$1,988.63	$3,412.00