Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.96 / $1,086.39 / $1,086.39	Professional		$467.96	$1,086.39	$1,086.39
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.29 / $108.76 / $108.76	Professional	26	$46.29	$108.76	$108.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $421.65 / $977.62 / $977.62	Professional	TC	$421.65	$977.62	$977.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.67 / $475.67 / $559.61	Professional		$475.67	$475.67	$559.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.28 / $47.54 / $55.93	Professional	26	$46.28	$47.54	$55.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $428.13 / $428.13 / $503.68	Professional	TC	$428.13	$428.13	$503.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $895.04 / $949.29 / $1,003.53	Professional		$895.04	$949.29	$1,003.53
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $90.21 / $95.67 / $101.14	Professional	26	$90.21	$95.67	$101.14
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $804.85 / $804.85 / $902.41	Professional	TC	$804.85	$804.85	$902.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $103.19 / $966.01	Professional		$32.34	$103.19	$966.01
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $952.06 / $1,018.18 / $1,033.35	Professional		$952.06	$1,018.18	$1,033.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $96.75 / $98.36 / $98.36	Professional	26	$96.75	$98.36	$98.36
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $855.24 / $919.82 / $936.61	Professional	TC	$855.24	$919.82	$936.61
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $353.60 / $757.79	Professional		$284.08	$353.60	$757.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.05 / $36.15 / $70.61	Professional	26	$31.05	$36.15	$70.61
United Facility/Professional Professional Modifier TC Low / Median / High Price $253.03 / $317.44 / $687.18	Professional	TC	$253.03	$317.44	$687.18