Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $162.18 / $380.19	Facility	26	$138.04	$162.18	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $223.87 / $758.58	Professional		$128.82	$223.87	$758.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $117.49 / $616.60	Professional	26	$57.54	$117.49	$616.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $67.61 / $95.50 / $190.55	Professional	TC	$67.61	$95.50	$190.55
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $346.74	Professional		$199.53	$234.42	$346.74
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $114.82 / $123.03	Professional	26	$97.72	$114.82	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $100.00 / $117.49 / $134.90	Professional	TC	$100.00	$117.49	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $199.53 / $281.84	Professional		$154.88	$199.53	$281.84
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $74.13 / $91.20 / $120.23	Professional	26	$74.13	$91.20	$120.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $83.18 / $100.00 / $162.18	Professional	TC	$83.18	$100.00	$162.18
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $138.04 / $138.04 / $380.19	Facility	26	$138.04	$138.04	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $218.78 / $354.81	Professional		$131.83	$218.78	$354.81
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.57 / $120.23 / $169.82	Professional	26	$64.57	$120.23	$169.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $97.72 / $114.82 / $186.21	Professional	TC	$97.72	$114.82	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $660.69 / $660.69 / $660.69	Facility	26	$660.69	$660.69	$660.69
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $257.04	Professional		$223.87	$251.19	$257.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $107.15 / $117.49 / $123.03	Professional	26	$107.15	$117.49	$123.03
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $114.82 / $131.83 / $134.90	Professional	TC	$114.82	$131.83	$134.90
Select Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $588.84	Professional		$117.49	$117.49	$588.84
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $57.54 / $57.54 / $125.89	Professional	26	$57.54	$57.54	$125.89
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $60.26 / $61.66 / $870.96	Professional	TC	$60.26	$61.66	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $316.23	Professional		$138.04	$186.21	$316.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $66.07 / $75.86 / $128.82	Professional	26	$66.07	$75.86	$128.82
United Facility/Professional Professional Modifier TC Low / Median / High Price $72.44 / $109.65 / $186.21	Professional	TC	$72.44	$109.65	$186.21