Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $645.65	Facility	26	$512.86	$512.86	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $1,071.52	Professional		$446.68	$524.81	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $218.78 / $407.38 / $549.54	Professional	26	$218.78	$407.38	$549.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.19 / $295.12 / $489.78	Professional	TC	$251.19	$295.12	$489.78
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 $741.31 / $870.96 / $954.99	Professional		$741.31	$870.96	$954.99
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $363.08 / $426.58 / $457.09	Professional	26	$363.08	$426.58	$457.09
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $380.19 / $446.68 / $501.19	Professional	TC	$380.19	$446.68	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $933.25	Professional		$575.44	$691.83	$933.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $346.74 / $436.52	Professional	26	$263.03	$346.74	$436.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $371.54 / $524.81	Professional	TC	$295.12	$371.54	$524.81
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $512.86 / $512.86 / $645.65	Facility	26	$512.86	$512.86	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $831.76 / $1,318.26	Professional		$501.19	$831.76	$1,318.26
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $239.88 / $398.11 / $630.96	Professional	26	$239.88	$398.11	$630.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $281.84 / $436.52 / $691.83	Professional	TC	$281.84	$436.52	$691.83
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 $831.76 / $933.25 / $954.99	Professional		$831.76	$933.25	$954.99
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $398.11 / $446.68 / $457.09	Professional	26	$398.11	$446.68	$457.09
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $489.78 / $501.19	Professional	TC	$426.58	$489.78	$501.19
Select Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,071.52	Professional		$446.68	$446.68	$1,071.52
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $213.80 / $213.80 / $478.63	Professional	26	$213.80	$213.80	$478.63
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $229.09 / $234.42 / $870.96	Professional	TC	$229.09	$234.42	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,047.13	Professional		$524.81	$616.60	$1,047.13
United Facility/Professional Professional Modifier 26 Low / Median / High Price $245.47 / $281.84 / $457.09	Professional	26	$245.47	$281.84	$457.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $275.42 / $354.81 / $602.56	Professional	TC	$275.42	$354.81	$602.56