Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $243.23 / $243.23 / $306.60	Facility	26	$243.23	$243.23	$306.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $200.97 / $304.24	Professional		$134.91	$200.97	$304.24
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $96.51 / $204.40 / $266.37	Professional	26	$96.51	$204.40	$266.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $28.37 / $61.02 / $100.62	Professional	TC	$28.37	$61.02	$100.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $225.40 / $288.85	Professional		$173.80	$225.40	$288.85
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $132.19 / $173.62 / $201.69	Professional	26	$132.19	$173.62	$201.69
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.64 / $42.41 / $89.64	Professional	TC	$34.64	$42.41	$89.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.83 / $284.64 / $333.10	Professional		$234.83	$284.64	$333.10
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $172.39 / $182.84 / $208.96	Professional	26	$172.39	$182.84	$208.96
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $62.45 / $66.23 / $75.70	Professional	TC	$62.45	$66.23	$75.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.44 / $260.97	Professional		$32.34	$66.44	$260.97
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,052.55 / $1,052.55 / $1,052.55	Facility	26	$1,052.55	$1,052.55	$1,052.55
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $255.61 / $291.81 / $333.09	Professional		$255.61	$291.81	$333.09
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $201.93 / $217.83 / $259.29	Professional	26	$201.93	$217.83	$259.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $61.60 / $73.80 / $73.98	Professional	TC	$61.60	$73.80	$73.98
United Facility/Professional Professional Modifier Low / Median / High Price $144.02 / $216.99 / $363.58	Professional		$144.02	$216.99	$363.58
United Facility/Professional Professional Modifier 26 Low / Median / High Price $116.66 / $138.50 / $259.55	Professional	26	$116.66	$138.50	$259.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.36 / $66.58 / $131.04	Professional	TC	$27.36	$66.58	$131.04