Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.59 / $119.83 / $122.84	Facility	26	$68.59	$119.83	$122.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.32 / $363.87 / $654.05	Professional		$267.32	$363.87	$654.05
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.47 / $52.55 / $100.70	Professional	26	$43.47	$52.55	$100.70
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $223.84 / $311.32 / $553.36	Professional	TC	$223.84	$311.32	$553.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.47 / $534.57 / $658.92	Professional		$321.47	$534.57	$658.92
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.05 / $79.70 / $94.47	Professional	26	$55.05	$79.70	$94.47
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $266.42 / $454.87 / $564.46	Professional	TC	$266.42	$454.87	$564.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $496.35 / $526.44 / $601.64	Professional		$496.35	$526.44	$601.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $79.81 / $91.22	Professional	26	$75.26	$79.81	$91.22
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $421.10 / $446.62 / $510.42	Professional	TC	$421.10	$446.62	$510.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $536.02	Professional		$32.34	$32.34	$536.02
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 $613.41 / $650.75 / $749.00	Professional		$613.41	$650.75	$749.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $89.54 / $96.59 / $116.24	Professional	26	$89.54	$96.59	$116.24
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $523.88 / $554.16 / $632.76	Professional	TC	$523.88	$554.16	$632.76
United Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $376.58 / $673.88	Professional		$302.05	$376.58	$673.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $41.66 / $54.34 / $97.24	Professional	26	$41.66	$54.34	$97.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $260.13 / $268.98 / $576.64	Professional	TC	$260.13	$268.98	$576.64