Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $71.34 / $126.11 / $129.16	Facility	26	$71.34	$126.11	$129.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.73 / $399.46 / $725.51	Professional		$318.73	$399.46	$725.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $45.85 / $53.40 / $105.98	Professional	26	$45.85	$53.40	$105.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $272.87 / $346.61 / $619.52	Professional	TC	$272.87	$346.61	$619.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $589.85 / $645.37	Professional		$335.40	$589.85	$645.37
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.55 / $83.33 / $98.08	Professional	26	$58.55	$83.33	$98.08
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $276.86 / $495.81 / $555.37	Professional	TC	$276.86	$495.81	$555.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $541.17 / $573.98 / $655.98	Professional		$541.17	$573.98	$655.98
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $78.98 / $83.77 / $95.74	Professional	26	$78.98	$83.77	$95.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $462.20 / $490.21 / $560.24	Professional	TC	$462.20	$490.21	$560.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $584.82	Professional		$32.34	$32.34	$584.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,533.52 / $2,533.52 / $2,533.52	Facility	26	$2,533.52	$2,533.52	$2,533.52
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $675.01 / $713.77 / $824.23	Professional		$675.01	$713.77	$824.23
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $93.98 / $101.38 / $122.27	Professional	26	$93.98	$101.38	$122.27
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $581.02 / $612.39 / $701.96	Professional	TC	$581.02	$612.39	$701.96
United Facility/Professional Professional Modifier Low / Median / High Price $300.60 / $362.09 / $739.08	Professional		$300.60	$362.09	$739.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $43.40 / $56.62 / $101.32	Professional	26	$43.40	$56.62	$101.32
United Facility/Professional Professional Modifier TC Low / Median / High Price $257.20 / $306.77 / $633.61	Professional	TC	$257.20	$306.77	$633.61