Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $134.87 / $177.03 / $240.04	Facility	26	$134.87	$177.03	$240.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.27 / $236.17 / $301.54	Professional		$151.27	$236.17	$301.54
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.26 / $92.77 / $103.18	Professional	TC	$55.26	$92.77	$103.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.79 / $236.85 / $271.51	Professional		$171.79	$236.85	$271.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $58.70 / $80.61 / $93.36	Professional	TC	$58.70	$80.61	$93.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $232.70 / $282.06 / $351.31	Professional		$232.70	$282.06	$351.31
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $85.93 / $91.14 / $104.16	Professional	TC	$85.93	$91.14	$104.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $72.84 / $258.82	Professional		$32.34	$72.84	$258.82
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $484.26 / $484.26 / $484.26	Facility	26	$484.26	$484.26	$484.26
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $278.13 / $298.66 / $351.31	Professional		$278.13	$298.66	$351.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $101.60 / $110.29 / $122.24	Professional	TC	$101.60	$110.29	$122.24
United Facility/Professional Professional Modifier Low / Median / High Price $129.76 / $160.74 / $287.64	Professional		$129.76	$160.74	$287.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $44.17 / $62.36 / $104.66	Professional	TC	$44.17	$62.36	$104.66