Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $338.40 / $696.96	Facility		$163.19	$338.40	$696.96
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.03 / $25.03 / $25.03	Facility	26	$25.03	$25.03	$25.03
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $62.30 / $478.72 / $676.80	Facility	TC	$62.30	$478.72	$676.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $73.41 / $87.35	Professional		$63.39	$73.41	$87.35
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.71 / $21.04 / $25.03	Professional	26	$9.71	$21.04	$25.03
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $52.36 / $57.60 / $62.30	Professional	TC	$52.36	$57.60	$62.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $32.00 / $37.65	Professional		$32.00	$32.00	$37.65
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.02 / $9.25 / $10.88	Professional	26	$9.02	$9.25	$10.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $22.75 / $22.75 / $26.77	Professional	TC	$22.75	$22.75	$26.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $73.41 / $100.01	Facility		$59.06	$73.41	$100.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.28 / $68.31 / $76.59	Professional		$68.28	$68.31	$76.59
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.61 / $18.67 / $19.73	Professional	26	$17.61	$18.67	$19.73
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $50.70 / $53.78 / $56.85	Professional	TC	$50.70	$53.78	$56.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $74.02	Professional		$32.34	$32.34	$74.02
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $73.91 / $75.53	Professional		$66.41	$73.91	$75.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.64 / $19.32 / $19.47	Professional	26	$18.64	$19.32	$19.47
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.95 / $54.71 / $56.21	Professional	TC	$46.95	$54.71	$56.21
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $37.17 / $58.60	Professional		$25.12	$37.17	$58.60
United Facility/Professional Professional Modifier 26 Low / Median / High Price $6.53 / $7.15 / $14.01	Professional	26	$6.53	$7.15	$14.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $17.97 / $29.95 / $41.93	Professional	TC	$17.97	$29.95	$41.93