Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.93 / $66.17 / $89.26	Facility	26	$49.93	$66.17	$89.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $350.49 / $613.09	Professional		$300.52	$350.49	$613.09
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $30.39 / $38.79 / $73.62	Professional	26	$30.39	$38.79	$73.62
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $270.12 / $316.08 / $539.47	Professional	TC	$270.12	$316.08	$539.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.30 / $503.91 / $713.45	Professional		$350.30	$503.91	$713.45
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $39.97 / $57.89 / $71.54	Professional	26	$39.97	$57.89	$71.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $310.32 / $446.02 / $641.90	Professional	TC	$310.32	$446.02	$641.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $464.33 / $492.47 / $701.06	Professional		$464.33	$492.47	$701.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $58.31 / $66.64	Professional	26	$54.98	$58.31	$66.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $409.37 / $434.18 / $496.20	Professional	TC	$409.37	$434.18	$496.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $500.31	Professional		$32.34	$32.34	$500.31
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 $575.95 / $609.65 / $701.06	Professional		$575.95	$609.65	$701.06
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $65.41 / $70.56 / $84.45	Professional	26	$65.41	$70.56	$84.45
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $510.54 / $539.10 / $616.61	Professional	TC	$510.54	$539.10	$616.61
United Facility/Professional Professional Modifier Low / Median / High Price $279.19 / $356.44 / $637.84	Professional		$279.19	$356.44	$637.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $29.80 / $39.14 / $70.04	Professional	26	$29.80	$39.14	$70.04
United Facility/Professional Professional Modifier TC Low / Median / High Price $249.39 / $317.30 / $567.79	Professional	TC	$249.39	$317.30	$567.79