Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $162.75 / $162.75 / $165.31	Facility	26	$162.75	$162.75	$165.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.87 / $416.13 / $769.29	Professional		$308.87	$416.13	$769.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.15 / $72.23 / $162.75	Professional	26	$57.15	$72.23	$162.75
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.71 / $343.90 / $606.53	Professional	TC	$251.71	$343.90	$606.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $528.08 / $664.67	Professional		$317.70	$528.08	$664.67
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.48 / $107.54 / $128.09	Professional	26	$71.48	$107.54	$128.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $246.22 / $420.53 / $536.58	Professional	TC	$246.22	$420.53	$536.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.95 / $519.65 / $736.17	Professional		$489.95	$519.65	$736.17
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $100.86 / $106.98 / $122.26	Professional	26	$100.86	$106.98	$122.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $389.09 / $412.67 / $471.62	Professional	TC	$389.09	$412.67	$471.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $416.38	Professional		$32.34	$32.34	$416.38
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,533.52 / $2,533.52 / $2,533.52	Facility	26	$2,533.52	$2,533.52	$2,533.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $600.07 / $643.22 / $736.17	Professional		$600.07	$643.22	$736.17
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $120.02 / $129.47 / $156.47	Professional	26	$120.02	$129.47	$156.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $480.06 / $513.75 / $579.70	Professional	TC	$480.06	$513.75	$579.70
United Facility/Professional Professional Modifier Low / Median / High Price $295.41 / $365.94 / $667.80	Professional		$295.41	$365.94	$667.80
United Facility/Professional Professional Modifier 26 Low / Median / High Price $55.55 / $82.29 / $129.19	Professional	26	$55.55	$82.29	$129.19
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.38 / $354.52 / $546.84	Professional	TC	$244.38	$354.52	$546.84