Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $58.88 / $60.26	Facility	26	$33.88	$58.88	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $295.12 / $446.68	Professional		$218.78	$295.12	$446.68
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.44 / $32.36 / $51.29	Professional	26	$23.44	$32.36	$51.29
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $269.15 / $398.11	Professional	TC	$194.98	$269.15	$398.11
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $562.34	Professional		$331.13	$389.05	$562.34
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $37.15 / $43.65 / $54.95	Professional	26	$37.15	$43.65	$54.95
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $338.84 / $426.58	Professional	TC	$288.40	$338.84	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $446.68	Professional		$323.59	$371.54	$446.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $38.90 / $46.77	Professional	26	$34.67	$38.90	$46.77
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $288.40 / $331.13 / $398.11	Professional	TC	$288.40	$331.13	$398.11
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $33.88 / $58.88 / $74.13	Facility	26	$33.88	$58.88	$74.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $371.54 / $588.84	Professional		$346.74	$371.54	$588.84
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $39.81 / $63.10	Professional	26	$36.31	$39.81	$63.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $331.13 / $524.81	Professional	TC	$309.03	$331.13	$524.81
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 $724.44 / $724.44 / $724.44	Facility	26	$724.44	$724.44	$724.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $446.68 / $524.81	Professional		$398.11	$446.68	$524.81
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.69 / $46.77 / $58.88	Professional	26	$41.69	$46.77	$58.88
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $354.81 / $398.11 / $467.74	Professional	TC	$354.81	$398.11	$467.74
Select Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $616.60	Professional		$194.98	$194.98	$616.60
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $21.88 / $47.86	Professional	26	$21.88	$21.88	$47.86
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $173.78 / $173.78 / $1,047.13	Professional	TC	$173.78	$173.78	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $263.03 / $467.74	Professional		$204.17	$263.03	$467.74
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.42 / $26.30 / $47.86	Professional	26	$20.42	$26.30	$47.86
United Facility/Professional Professional Modifier TC Low / Median / High Price $186.21 / $234.42 / $416.87	Professional	TC	$186.21	$234.42	$416.87