Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.25 / $134.25 / $134.25	Facility	26	$134.25	$134.25	$134.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.38 / $608.38 / $1,319.25	Professional		$608.38	$608.38	$1,319.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $460.54 / $460.54 / $1,062.72	Professional	TC	$460.54	$460.54	$1,062.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.11 / $613.11 / $672.97	Professional		$613.11	$613.11	$672.97
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $471.99 / $471.99 / $513.39	Professional	TC	$471.99	$471.99	$513.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $593.88 / $1,071.00	Professional		$308.75	$593.88	$1,071.00
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $391.40 / $469.68 / $504.12	Professional	TC	$391.40	$469.68	$504.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $765.00 / $831.60 / $1,119.96	Professional		$765.00	$831.60	$1,119.96
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $605.00 / $661.50 / $885.72	Professional	TC	$605.00	$661.50	$885.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $812.50 / $1,533.24	Professional		$308.75	$812.50	$1,533.24
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $513.39 / $766.50 / $1,240.76	Professional	TC	$513.39	$766.50	$1,240.76
United Facility/Professional Professional Modifier Low / Median / High Price $373.54 / $538.38 / $807.57	Professional		$373.54	$538.38	$807.57
United Facility/Professional Professional Modifier TC Low / Median / High Price $308.80 / $435.82 / $616.08	Professional	TC	$308.80	$435.82	$616.08