Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $116.23 / $116.23 / $117.57	Facility	26	$116.23	$116.23	$117.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $278.02 / $435.04	Professional		$228.16	$278.02	$435.04
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.77 / $51.26 / $97.68	Professional	26	$42.77	$51.26	$97.68
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $184.94 / $226.76 / $337.36	Professional	TC	$184.94	$226.76	$337.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $353.51 / $440.12	Professional		$245.66	$353.51	$440.12
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.13 / $76.29 / $90.66	Professional	26	$54.13	$76.29	$90.66
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $191.53 / $277.22 / $349.46	Professional	TC	$191.53	$277.22	$349.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $330.36 / $350.39 / $495.68	Professional		$330.36	$350.39	$495.68
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $72.06 / $76.42 / $87.34	Professional	26	$72.06	$76.42	$87.34
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 / $276.08	Professional		$32.34	$32.34	$276.08
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $731.61 / $731.61 / $731.61	Facility	26	$731.61	$731.61	$731.61
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $404.49 / $432.24 / $495.67	Professional		$404.49	$432.24	$495.67
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $85.73 / $92.48 / $111.26	Professional	26	$85.73	$92.48	$111.26
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $318.77 / $339.76 / $384.41	Professional	TC	$318.77	$339.76	$384.41
United Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $247.38 / $457.23	Professional		$203.29	$247.38	$457.23
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.50 / $52.06 / $93.15	Professional	26	$40.50	$52.06	$93.15
United Facility/Professional Professional Modifier TC Low / Median / High Price $161.90 / $195.32 / $363.05	Professional	TC	$161.90	$195.32	$363.05