Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $245.65 / $245.65 / $249.62	Facility	26	$245.65	$245.65	$249.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.35 / $1,371.59 / $1,734.60	Professional		$944.35	$1,371.59	$1,734.60
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $94.96 / $148.09 / $206.43	Professional	26	$94.96	$148.09	$206.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $849.32 / $1,223.50 / $1,528.18	Professional	TC	$849.32	$1,223.50	$1,528.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $712.38 / $796.19 / $1,652.61	Professional		$712.38	$796.19	$1,652.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.42 / $90.99 / $193.44	Professional	26	$81.42	$90.99	$193.44
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $630.96 / $705.19 / $1,459.17	Professional	TC	$630.96	$705.19	$1,459.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,282.53 / $1,360.26 / $1,960.04	Professional		$1,282.53	$1,360.26	$1,960.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $152.63 / $161.88 / $185.02	Professional	26	$152.63	$161.88	$185.02
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,129.89 / $1,198.36 / $1,369.56	Professional	TC	$1,129.89	$1,198.36	$1,369.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,382.92	Professional		$32.34	$32.34	$1,382.92
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,871.86 / $2,871.86 / $2,871.86	Facility	26	$2,871.86	$2,871.86	$2,871.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,609.09 / $1,689.21 / $1,960.04	Professional		$1,609.09	$1,689.21	$1,960.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $182.88 / $194.54 / $237.06	Professional	26	$182.88	$194.54	$237.06
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,426.21 / $1,494.67 / $1,722.98	Professional	TC	$1,426.21	$1,494.67	$1,722.98
United Facility/Professional Professional Modifier Low / Median / High Price $766.12 / $1,053.63 / $1,800.63	Professional		$766.12	$1,053.63	$1,800.63
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.90 / $115.40 / $197.20	Professional	26	$83.90	$115.40	$197.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $682.22 / $896.03 / $1,485.54	Professional	TC	$682.22	$896.03	$1,485.54