Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $171.84 / $171.84 / $1,907.96	Facility	26	$171.84	$171.84	$1,907.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $463.49 / $604.62 / $917.43	Professional		$463.49	$604.62	$917.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $64.28 / $76.29 / $144.41	Professional	26	$64.28	$76.29	$144.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $399.20 / $528.33 / $773.02	Professional	TC	$399.20	$528.33	$773.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $424.92 / $880.48	Professional		$380.19	$424.92	$880.48
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.03 / $63.74 / $136.13	Professional	26	$57.03	$63.74	$136.13
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $323.14 / $361.17 / $744.35	Professional	TC	$323.14	$361.17	$744.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $680.49 / $721.74 / $1,038.56	Professional		$680.49	$721.74	$1,038.56
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $106.21 / $112.65 / $128.74	Professional	26	$106.21	$112.65	$128.74
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $574.28 / $609.09 / $696.10	Professional	TC	$574.28	$609.09	$696.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $736.05	Professional		$32.34	$32.34	$736.05
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 $850.26 / $893.93 / $1,038.56	Professional		$850.26	$893.93	$1,038.56
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $127.00 / $135.63 / $165.16	Professional	26	$127.00	$135.63	$165.16
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $723.27 / $758.30 / $873.40	Professional	TC	$723.27	$758.30	$873.40
United Facility/Professional Professional Modifier Low / Median / High Price $407.07 / $534.66 / $956.76	Professional		$407.07	$534.66	$956.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.02 / $77.52 / $138.72	Professional	26	$59.02	$77.52	$138.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $347.32 / $457.14 / $818.04	Professional	TC	$347.32	$457.14	$818.04