Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.65 / $93.67 / $95.42	Facility	26	$82.65	$93.67	$95.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $347.90 / $623.48	Professional		$251.87	$347.90	$623.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.17 / $41.71 / $78.72	Professional	26	$33.17	$41.71	$78.72
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $218.71 / $306.19 / $544.76	Professional	TC	$218.71	$306.19	$544.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $511.56 / $578.62	Professional		$265.79	$511.56	$578.62
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.24 / $61.89 / $73.84	Professional	26	$42.24	$61.89	$73.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $223.55 / $449.66 / $508.93	Professional	TC	$223.55	$449.66	$508.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $473.95 / $502.67 / $574.48	Professional		$473.95	$502.67	$574.48
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $58.71 / $62.27 / $71.16	Professional	26	$58.71	$62.27	$71.16
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $415.24 / $440.41 / $503.32	Professional	TC	$415.24	$440.41	$503.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $510.63	Professional		$32.34	$32.34	$510.63
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 $585.47 / $620.61 / $713.05	Professional		$585.47	$620.61	$713.05
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.84 / $74.67 / $90.29	Professional	26	$69.84	$74.67	$90.29
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $515.62 / $545.94 / $622.76	Professional	TC	$515.62	$545.94	$622.76
United Facility/Professional Professional Modifier Low / Median / High Price $250.84 / $331.74 / $626.41	Professional		$250.84	$331.74	$626.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.70 / $41.81 / $74.80	Professional	26	$32.70	$41.81	$74.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $218.14 / $319.95 / $489.86	Professional	TC	$218.14	$319.95	$489.86