Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $398.02 / $398.02 / $398.02	Facility	26	$398.02	$398.02	$398.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $458.83 / $827.43	Professional		$317.47	$458.83	$827.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $131.81 / $154.94 / $290.68	Professional	26	$131.81	$154.94	$290.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $185.65 / $309.68 / $536.74	Professional	TC	$185.65	$309.68	$536.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.90 / $636.38 / $775.11	Professional		$427.90	$636.38	$775.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $177.84 / $247.05 / $283.20	Professional	26	$177.84	$247.05	$283.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.54 / $389.72 / $491.91	Professional	TC	$246.54	$389.72	$491.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $742.93 / $787.96 / $1,066.86	Professional		$742.93	$787.96	$1,066.86
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $246.05 / $260.95 / $298.24	Professional	26	$246.05	$260.95	$298.24
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $496.90 / $527.01 / $602.29	Professional	TC	$496.90	$527.01	$602.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $220.33 / $808.14	Professional		$32.34	$220.33	$808.14
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 $839.67 / $943.93 / $1,066.86	Professional		$839.67	$943.93	$1,066.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $287.02 / $309.62 / $369.56	Professional	26	$287.02	$309.62	$369.56
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $548.29 / $634.30 / $697.32	Professional	TC	$548.29	$634.30	$697.32
United Facility/Professional Professional Modifier Low / Median / High Price $419.94 / $504.57 / $786.77	Professional		$419.94	$504.57	$786.77
United Facility/Professional Professional Modifier 26 Low / Median / High Price $165.30 / $189.31 / $302.08	Professional	26	$165.30	$189.31	$302.08
United Facility/Professional Professional Modifier TC Low / Median / High Price $240.81 / $312.68 / $452.65	Professional	TC	$240.81	$312.68	$452.65