Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $245.47	Facility	26	$134.90	$134.90	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $302.00	Professional		$151.36	$169.82	$302.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $66.07 / $102.33	Professional	TC	$54.95	$66.07	$102.33
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $338.84	Professional		$229.09	$269.15	$338.84
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $81.28 / $95.50 / $109.65	Professional	TC	$81.28	$95.50	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $275.42	Professional		$169.82	$234.42	$275.42
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.66 / $81.28 / $93.33	Professional	TC	$61.66	$81.28	$93.33
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $134.90 / $134.90 / $134.90	Facility	26	$134.90	$134.90	$134.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $251.19 / $398.11	Professional		$234.42	$251.19	$398.11
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $87.10 / $93.33 / $147.91	Professional	TC	$87.10	$93.33	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $302.00	Professional		$263.03	$295.12	$302.00
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $95.50 / $107.15 / $109.65	Professional	TC	$95.50	$107.15	$109.65
Select Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $407.38	Professional		$134.90	$134.90	$407.38
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $50.12 / $575.44	Professional	TC	$48.98	$50.12	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $288.40	Professional		$128.82	$162.18	$288.40
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.67 / $58.88 / $104.71	Professional	TC	$44.67	$58.88	$104.71