Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $131.36 / $131.36	Professional		$58.81	$131.36	$131.36
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.10 / $47.04 / $47.04	Professional	26	$24.10	$47.04	$47.04
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $34.72 / $84.32 / $84.32	Professional	TC	$34.72	$84.32	$84.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.13 / $55.13 / $64.86	Professional		$55.13	$55.13	$64.86
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.10 / $20.68 / $24.32	Professional	26	$20.10	$20.68	$24.32
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $34.46 / $34.46 / $40.54	Professional	TC	$34.46	$34.46	$40.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $134.49 / $150.79	Professional		$123.95	$134.49	$150.79
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $39.50 / $41.90 / $44.29	Professional	26	$39.50	$41.90	$44.29
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $95.01 / $100.77 / $106.52	Professional	TC	$95.01	$100.77	$106.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.01 / $146.38	Professional		$32.34	$45.01	$146.38
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $107.06 / $133.28 / $142.86	Professional		$107.06	$133.28	$142.86
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $41.79 / $42.74 / $42.74	Professional	26	$41.79	$42.74	$42.74
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $65.27 / $90.21 / $100.12	Professional	TC	$65.27	$90.21	$100.12
United Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $41.79 / $77.56	Professional		$34.31	$41.79	$77.56
United Facility/Professional Professional Modifier 26 Low / Median / High Price $14.30 / $15.81 / $30.63	Professional	26	$14.30	$15.81	$30.63
United Facility/Professional Professional Modifier TC Low / Median / High Price $20.01 / $25.98 / $54.69	Professional	TC	$20.01	$25.98	$54.69