Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.74 / $106.69 / $108.67	Facility	26	$60.74	$106.69	$108.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.83 / $480.46 / $824.28	Professional		$411.83	$480.46	$824.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $36.71 / $46.97 / $89.66	Professional	26	$36.71	$46.97	$89.66
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $375.12 / $438.96 / $734.61	Professional	TC	$375.12	$438.96	$734.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.04 / $678.31 / $965.36	Professional		$479.04	$678.31	$965.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $48.13 / $70.50 / $86.35	Professional	26	$48.13	$70.50	$86.35
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $430.91 / $607.80 / $879.00	Professional	TC	$430.91	$607.80	$879.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $623.39 / $661.17 / $941.25	Professional		$623.39	$661.17	$941.25
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $66.70 / $70.75 / $80.86	Professional	26	$66.70	$70.75	$80.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $556.66 / $590.40 / $674.74	Professional	TC	$556.66	$590.40	$674.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $671.35	Professional		$32.34	$32.34	$671.35
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $949.44	Facility	26	$949.44	$949.44	$949.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $774.07 / $817.89 / $941.25	Professional		$774.07	$817.89	$941.25
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $79.38 / $84.94 / $102.84	Professional	26	$79.38	$84.94	$102.84
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $694.69 / $732.95 / $838.41	Professional	TC	$694.69	$732.95	$838.41
United Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $481.46 / $861.57	Professional		$382.19	$481.46	$861.57
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.88 / $48.26 / $86.35	Professional	26	$35.88	$48.26	$86.35
United Facility/Professional Professional Modifier TC Low / Median / High Price $346.31 / $476.28 / $775.22	Professional	TC	$346.31	$476.28	$775.22