Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.64 / $709.28 / $841.79	Facility		$354.64	$709.28	$841.79
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.84 / $181.84 / $181.84	Facility	26	$181.84	$181.84	$181.84
Aetna Facility/Professional Facility Modifier TC Low / Median / High Price $414.82 / $420.90 / $851.40	Facility	TC	$414.82	$420.90	$851.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.20 / $507.84 / $604.32	Professional		$225.20	$507.84	$604.32
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $71.98 / $152.81 / $181.84	Professional	26	$71.98	$152.81	$181.84
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $153.21 / $355.03 / $422.48	Professional	TC	$153.21	$355.03	$422.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.12 / $221.12 / $260.14	Professional		$221.12	$221.12	$260.14
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $65.44 / $67.42 / $79.31	Professional	26	$65.44	$67.42	$79.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $153.69 / $153.69 / $180.82	Professional	TC	$153.69	$153.69	$180.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $261.80 / $397.46 / $533.23	Facility		$261.80	$397.46	$533.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $459.00 / $466.64 / $514.63	Professional		$459.00	$466.64	$514.63
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $126.49 / $134.16 / $141.82	Professional	26	$126.49	$134.16	$141.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $332.51 / $332.51 / $372.81	Professional	TC	$332.51	$332.51	$372.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $144.12 / $499.80	Professional		$32.34	$144.12	$499.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $429.38 / $502.85 / $505.87	Professional		$429.38	$502.85	$505.87
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $135.91 / $138.76 / $139.69	Professional	26	$135.91	$138.76	$139.69
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $289.69 / $363.75 / $367.11	Professional	TC	$289.69	$363.75	$367.11
United Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $168.90 / $321.33	Professional		$140.71	$168.90	$321.33
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.38 / $51.97 / $86.62	Professional	26	$47.38	$51.97	$86.62
United Facility/Professional Professional Modifier TC Low / Median / High Price $93.33 / $116.93 / $194.88	Professional	TC	$93.33	$116.93	$194.88