Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.82 / $114.82 / $114.82	Facility	26	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $416.87	Professional		$208.93	$309.03	$416.87
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $251.19 / $331.13	Professional	TC	$165.96	$251.19	$331.13
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $549.54	Professional		$331.13	$371.54	$549.54
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $257.04 / $288.40 / $363.08	Professional	TC	$257.04	$288.40	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $338.84 / $426.58	Professional		$302.00	$338.84	$426.58
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $239.88 / $269.15 / $346.74	Professional	TC	$239.88	$269.15	$346.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $575.44	Professional		$338.84	$407.38	$575.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $269.15 / $281.84 / $446.68	Professional	TC	$269.15	$281.84	$446.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	26	$954.99	$954.99	$954.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $501.19	Professional		$371.54	$426.58	$501.19
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $295.12 / $338.84 / $389.05	Professional	TC	$295.12	$338.84	$389.05
Select Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $1,148.15	Professional		$190.55	$190.55	$1,148.15
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $147.91 / $147.91 / $1,380.38	Professional	TC	$147.91	$147.91	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $457.09	Professional		$194.98	$245.47	$457.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $158.49 / $194.98 / $371.54	Professional	TC	$158.49	$194.98	$371.54