Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,005.67 / $2,276.37 / $2,276.37	Professional		$1,005.67	$2,276.37	$2,276.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $116.82 / $264.39 / $264.39	Professional	26	$116.82	$264.39	$264.39
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $888.87 / $2,011.97 / $2,011.97	Professional	TC	$888.87	$2,011.97	$2,011.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $550.33 / $550.33 / $550.33	Professional		$550.33	$550.33	$550.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $66.23 / $66.23 / $66.23	Professional	26	$66.23	$66.23	$66.23
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $484.10 / $484.10 / $484.10	Professional	TC	$484.10	$484.10	$484.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,294.00 / $1,294.00 / $2,934.75	Professional		$1,294.00	$1,294.00	$2,934.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $161.34 / $161.34 / $161.34	Professional	26	$161.34	$161.34	$161.34
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,132.66 / $1,132.66 / $1,132.66	Professional	TC	$1,132.66	$1,132.66	$1,132.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $814.28 / $2,096.25 / $3,068.91	Professional		$814.28	$2,096.25	$3,068.91
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.80 / $211.25 / $309.27	Professional	26	$77.80	$211.25	$309.27
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $736.48 / $1,885.00 / $2,759.64	Professional	TC	$736.48	$1,885.00	$2,759.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $550.33 / $2,173.75 / $3,339.25	Professional		$550.33	$2,173.75	$3,339.25
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $66.23 / $210.00 / $312.64	Professional	26	$66.23	$210.00	$312.64
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $484.10 / $1,963.75 / $3,026.60	Professional	TC	$484.10	$1,963.75	$3,026.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,024.31 / $2,024.31 / $2,024.31	Professional		$2,024.31	$2,024.31	$2,024.31
United Facility/Professional Professional Modifier 26 Low / Median / High Price $90.74 / $167.20 / $250.80	Professional	26	$90.74	$167.20	$250.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,773.51 / $1,773.51 / $1,773.51	Professional	TC	$1,773.51	$1,773.51	$1,773.51