Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.08 / $141.08 / $143.66	Facility	26	$141.08	$141.08	$143.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.02 / $384.26 / $663.32	Professional		$330.02	$384.26	$663.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.03 / $58.98 / $118.56	Professional	26	$49.03	$58.98	$118.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.99 / $328.80 / $544.76	Professional	TC	$280.99	$328.80	$544.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.36 / $544.97 / $665.62	Professional		$387.36	$544.97	$665.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.44 / $93.22 / $110.46	Professional	26	$64.44	$93.22	$110.46
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $322.91 / $451.75 / $555.16	Professional	TC	$322.91	$451.75	$555.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $502.76 / $533.23 / $759.10	Professional		$502.76	$533.23	$759.10
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.06 / $93.40 / $106.74	Professional	26	$88.06	$93.40	$106.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $414.69 / $439.83 / $502.66	Professional	TC	$414.69	$439.83	$502.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.92	Professional		$32.34	$32.34	$543.92
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $731.61	Facility	26	$731.61	$731.61	$731.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $621.03 / $658.29 / $759.10	Professional		$621.03	$658.29	$759.10
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $105.41 / $113.03 / $136.34	Professional	26	$105.41	$113.03	$136.34
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $515.62 / $545.26 / $622.76	Professional	TC	$515.62	$545.26	$622.76
United Facility/Professional Professional Modifier Low / Median / High Price $307.55 / $422.99 / $688.17	Professional		$307.55	$422.99	$688.17
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.03 / $63.08 / $112.89	Professional	26	$48.03	$63.08	$112.89
United Facility/Professional Professional Modifier TC Low / Median / High Price $259.52 / $321.48 / $575.28	Professional	TC	$259.52	$321.48	$575.28