Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $89.86 / $89.86 / $103.71	Facility	26	$89.86	$89.86	$103.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $150.12 / $254.26	Professional		$56.89	$150.12	$254.26
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.49 / $42.59 / $75.52	Professional	26	$36.49	$42.59	$75.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.03 / $102.61 / $178.74	Professional	TC	$16.03	$102.61	$178.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $188.73 / $236.69	Professional		$98.10	$188.73	$236.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.65 / $64.20 / $77.42	Professional	26	$48.65	$64.20	$77.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $24.42 / $125.53 / $163.09	Professional	TC	$24.42	$125.53	$163.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $219.35 / $232.65 / $321.73	Professional		$219.35	$232.65	$321.73
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $67.94 / $77.64	Professional	26	$64.05	$67.94	$77.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $155.31 / $164.73 / $188.26	Professional	TC	$155.31	$164.73	$188.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.23 / $238.62	Professional		$32.34	$72.23	$238.62
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 $257.60 / $281.52 / $321.73	Professional		$257.60	$281.52	$321.73
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $74.93 / $80.15 / $96.07	Professional	26	$74.93	$80.15	$96.07
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $181.44 / $201.39 / $225.66	Professional	TC	$181.44	$201.39	$225.66
United Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $107.62 / $172.30	Professional		$68.08	$107.62	$172.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $42.94 / $51.49 / $88.34	Professional	26	$42.94	$51.49	$88.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $16.59 / $46.95 / $126.24	Professional	TC	$16.59	$46.95	$126.24