Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $268.35 / $268.35 / $268.35	Facility	26	$268.35	$268.35	$268.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.74 / $590.40 / $749.41	Professional		$293.74	$590.40	$749.41
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.57 / $163.50 / $196.15	Professional	26	$89.57	$163.50	$196.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $204.15 / $426.90 / $433.62	Professional	TC	$204.15	$426.90	$433.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.56 / $538.20 / $649.01	Professional		$403.56	$538.20	$649.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $126.80 / $166.05 / $200.24	Professional	26	$126.80	$166.05	$200.24
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $270.41 / $372.15 / $448.77	Professional	TC	$270.41	$372.15	$448.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $559.86 / $593.79 / $808.29	Professional		$559.86	$593.79	$808.29
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $165.45 / $175.47 / $200.54	Professional	26	$165.45	$175.47	$200.54
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $394.42 / $418.32 / $478.08	Professional	TC	$394.42	$418.32	$478.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $186.89 / $608.73	Professional		$32.34	$186.89	$608.73
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 $656.59 / $715.83 / $808.29	Professional		$656.59	$715.83	$808.29
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $193.04 / $208.93 / $248.58	Professional	26	$193.04	$208.93	$248.58
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $463.55 / $506.90 / $559.71	Professional	TC	$463.55	$506.90	$559.71
United Facility/Professional Professional Modifier Low / Median / High Price $361.38 / $411.85 / $650.10	Professional		$361.38	$411.85	$650.10
United Facility/Professional Professional Modifier 26 Low / Median / High Price $111.72 / $127.32 / $204.51	Professional	26	$111.72	$127.32	$204.51
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.66 / $284.52 / $446.76	Professional	TC	$249.66	$284.52	$446.76