Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.17 / $335.43 / $858.88	Facility		$231.17	$335.43	$858.88
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $155.21 / $155.21 / $155.21	Facility	26	$155.21	$155.21	$155.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.77 / $281.88 / $335.43	Professional		$133.77	$281.88	$335.43
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.53 / $130.43 / $155.21	Professional	26	$61.53	$130.43	$155.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $72.23 / $151.44 / $194.98	Professional	TC	$72.23	$151.44	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.04 / $121.04 / $142.40	Professional		$121.04	$121.04	$142.40
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $55.77 / $57.59 / $67.75	Professional	26	$55.77	$57.59	$67.75
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $63.45 / $63.45 / $74.65	Professional	TC	$63.45	$63.45	$74.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $232.86 / $310.07	Facility		$184.43	$232.86	$310.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.58 / $274.33 / $307.58	Professional		$262.58	$274.33	$307.58
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $107.81 / $114.35 / $166.52	Professional	26	$107.81	$114.35	$166.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $166.52 / $176.61 / $186.70	Professional	TC	$166.52	$176.61	$186.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $123.20 / $300.75	Professional		$32.34	$123.20	$300.75
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $251.33 / $279.94 / $293.92	Professional		$251.33	$279.94	$293.92
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $116.07 / $118.27 / $119.08	Professional	26	$116.07	$118.27	$119.08
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $132.25 / $161.80 / $175.65	Professional	TC	$132.25	$161.80	$175.65
United Facility/Professional Professional Modifier Low / Median / High Price $83.32 / $94.41 / $183.76	Professional		$83.32	$94.41	$183.76
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.64 / $44.39 / $73.98	Professional	26	$40.64	$44.39	$73.98
United Facility/Professional Professional Modifier TC Low / Median / High Price $42.68 / $50.02 / $96.84	Professional	TC	$42.68	$50.02	$96.84