Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $433.12 / $766.67 / $766.67	Professional		$433.12	$766.67	$766.67
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.87 / $89.94 / $89.94	Professional	26	$46.87	$89.94	$89.94
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $386.24 / $676.73 / $676.73	Professional	TC	$386.24	$676.73	$676.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.72 / $343.72 / $404.38	Professional		$343.72	$343.72	$404.38
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.26 / $39.53 / $46.51	Professional	26	$38.26	$39.53	$46.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $304.19 / $304.19 / $357.87	Professional	TC	$304.19	$304.19	$357.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $648.99 / $670.22 / $727.66	Professional		$648.99	$670.22	$727.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $75.26 / $79.81 / $84.38	Professional	26	$75.26	$79.81	$84.38
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $573.74 / $608.51 / $643.28	Professional	TC	$573.74	$608.51	$643.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $86.00 / $701.10	Professional		$32.34	$86.00	$701.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $670.22 / $736.56 / $861.61	Professional		$670.22	$736.56	$861.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $80.15 / $81.97 / $83.01	Professional	26	$80.15	$81.97	$83.01
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $590.08 / $654.59 / $778.60	Professional	TC	$590.08	$654.59	$778.60
United Facility/Professional Professional Modifier Low / Median / High Price $244.87 / $270.24 / $630.55	Professional		$244.87	$270.24	$630.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.57 / $30.53 / $60.83	Professional	26	$27.57	$30.53	$60.83
United Facility/Professional Professional Modifier TC Low / Median / High Price $217.30 / $239.71 / $559.30	Professional	TC	$217.30	$239.71	$559.30