Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $111.30 / $111.30 / $111.30	Facility	26	$111.30	$111.30	$111.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.13 / $421.91 / $421.91	Professional		$229.13	$421.91	$421.91
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $183.49 / $330.08 / $330.08	Professional	TC	$183.49	$330.08	$330.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.95 / $341.63 / $431.20	Professional		$243.95	$341.63	$431.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $192.97 / $269.42 / $344.50	Professional	TC	$192.97	$269.42	$344.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.63 / $346.43 / $484.36	Professional		$326.63	$346.43	$484.36
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $258.32 / $273.98 / $313.12	Professional	TC	$258.32	$273.98	$313.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $353.59	Professional		$32.34	$32.34	$353.59
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $949.44 / $949.44 / $949.44	Facility	26	$949.44	$949.44	$949.44
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $395.61 / $421.96 / $484.36	Professional		$395.61	$421.96	$484.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $314.95 / $335.65 / $379.80	Professional	TC	$314.95	$335.65	$379.80
United Facility/Professional Professional Modifier Low / Median / High Price $200.56 / $269.80 / $447.97	Professional		$200.56	$269.80	$447.97
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.30 / $194.18 / $357.90	Professional	TC	$161.30	$194.18	$357.90