Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.29 / $512.29 / $645.75	Facility	26	$512.29	$512.29	$645.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $427.45 / $525.11 / $1,006.54	Professional		$427.45	$525.11	$1,006.54
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $200.11 / $430.50 / $544.29	Professional	26	$200.11	$430.50	$544.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $239.11 / $297.79 / $430.21	Professional	TC	$239.11	$297.79	$430.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.14 / $741.90 / $894.65	Professional		$571.14	$741.90	$894.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $263.85 / $364.82 / $418.22	Professional	26	$263.85	$364.82	$418.22
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $292.17 / $377.08 / $461.29	Professional	TC	$292.17	$377.08	$461.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $761.61 / $807.77 / $1,095.02	Professional		$761.61	$807.77	$1,095.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $363.46 / $385.49 / $440.56	Professional	26	$363.46	$385.49	$440.56
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $398.15 / $422.28 / $482.60	Professional	TC	$398.15	$422.28	$482.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $326.00 / $425.00	Professional		$32.34	$326.00	$425.00
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 $880.11 / $963.11 / $1,095.02	Professional		$880.11	$963.11	$1,095.02
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $425.45 / $459.64 / $547.63	Professional	26	$425.45	$459.64	$547.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $454.66 / $503.48 / $547.39	Professional	TC	$454.66	$503.48	$547.39
United Facility/Professional Professional Modifier Low / Median / High Price $523.63 / $614.38 / $1,054.10	Professional		$523.63	$614.38	$1,054.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $245.70 / $297.98 / $451.86	Professional	26	$245.70	$297.98	$451.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $278.91 / $351.01 / $607.77	Professional	TC	$278.91	$351.01	$607.77