Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $247.04 / $247.04 / $247.04	Facility	26	$247.04	$247.04	$247.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $859.46 / $1,807.17 / $1,807.17	Professional		$859.46	$1,807.17	$1,807.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $759.12 / $1,621.47 / $1,621.47	Professional	TC	$759.12	$1,621.47	$1,621.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $909.02 / $1,418.86 / $1,876.55	Professional		$909.02	$1,418.86	$1,876.55
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $782.76 / $1,274.20 / $1,685.23	Professional	TC	$782.76	$1,274.20	$1,685.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,505.08 / $1,596.30 / $2,217.19	Professional		$1,505.08	$1,596.30	$2,217.19
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,346.04 / $1,427.62 / $1,631.56	Professional	TC	$1,346.04	$1,427.62	$1,631.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $172.05 / $1,614.78	Professional		$32.34	$172.05	$1,614.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,374.41 / $1,374.41 / $1,374.41	Facility	26	$1,374.41	$1,374.41	$1,374.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,830.07 / $1,941.98 / $2,217.21	Professional		$1,830.07	$1,941.98	$2,217.21
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,640.84 / $1,737.16 / $1,984.42	Professional	TC	$1,640.84	$1,737.16	$1,984.42
United Facility/Professional Professional Modifier Low / Median / High Price $881.15 / $1,009.24 / $1,632.00	Professional		$881.15	$1,009.24	$1,632.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $742.02 / $950.06 / $1,432.09	Professional	TC	$742.02	$950.06	$1,432.09