Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.68 / $192.13 / $194.85	Facility	26	$108.68	$192.13	$194.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.44 / $534.17 / $1,068.27	Professional		$433.44	$534.17	$1,068.27
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $79.73 / $192.13	Professional	26	$67.62	$79.73	$192.13
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $365.81 / $496.73 / $839.32	Professional	TC	$365.81	$496.73	$839.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.95 / $734.00 / $924.59	Professional		$444.95	$734.00	$924.59
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $84.61 / $126.46 / $150.30	Professional	26	$84.61	$126.46	$150.30
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $360.34 / $607.54 / $774.29	Professional	TC	$360.34	$607.54	$774.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $674.62 / $715.51 / $1,017.84	Professional		$674.62	$715.51	$1,017.84
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $119.01 / $126.23 / $144.26	Professional	26	$119.01	$126.23	$144.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $555.60 / $589.28 / $673.46	Professional	TC	$555.60	$589.28	$673.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $729.94	Professional		$32.34	$32.34	$729.94
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 $832.49 / $889.82 / $1,017.84	Professional		$832.49	$889.82	$1,017.84
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $142.24 / $152.76 / $184.81	Professional	26	$142.24	$152.76	$184.81
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $690.25 / $737.06 / $833.03	Professional	TC	$690.25	$737.06	$833.03
United Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $510.33 / $931.78	Professional		$419.08	$510.33	$931.78
United Facility/Professional Professional Modifier 26 Low / Median / High Price $65.09 / $85.12 / $152.32	Professional	26	$65.09	$85.12	$152.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $343.26 / $425.21 / $790.02	Professional	TC	$343.26	$425.21	$790.02