Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.28 / $141.99 / $143.18	Facility	26	$125.28	$141.99	$143.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.22 / $197.96 / $350.47	Professional		$162.22	$197.96	$350.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.54 / $62.99 / $173.03	Professional	26	$51.54	$62.99	$173.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.68 / $137.88 / $231.15	Professional	TC	$110.68	$137.88	$231.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.19 / $276.08 / $326.36	Professional		$182.19	$276.08	$326.36
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.51 / $93.82 / $110.73	Professional	26	$65.51	$93.82	$110.73
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $116.68 / $182.27 / $215.63	Professional	TC	$116.68	$182.27	$215.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $298.32 / $395.79	Professional		$281.27	$298.32	$395.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.61 / $93.98 / $107.40	Professional	26	$88.61	$93.98	$107.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $192.67 / $204.35 / $233.54	Professional	TC	$192.67	$204.35	$233.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $205.63	Professional		$32.34	$32.34	$205.63
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 $330.20 / $359.63 / $407.83	Professional		$330.20	$359.63	$407.83
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $104.78 / $113.03 / $136.44	Professional	26	$104.78	$113.03	$136.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $225.43 / $246.60 / $271.39	Professional	TC	$225.43	$246.60	$271.39
United Facility/Professional Professional Modifier Low / Median / High Price $148.71 / $192.28 / $344.07	Professional		$148.71	$192.28	$344.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $48.89 / $63.46 / $113.56	Professional	26	$48.89	$63.46	$113.56
United Facility/Professional Professional Modifier TC Low / Median / High Price $99.82 / $128.82 / $230.51	Professional	TC	$99.82	$128.82	$230.51