Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $320.19 / $320.19 / $320.19	Facility	26	$320.19	$320.19	$320.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.88 / $775.60 / $922.96	Professional		$337.88	$775.60	$922.96
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $125.45 / $269.07 / $320.19	Professional	26	$125.45	$269.07	$320.19
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $212.43 / $506.54 / $602.78	Professional	TC	$212.43	$506.54	$602.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.28 / $338.28 / $397.98	Professional		$338.28	$338.28	$397.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $115.13 / $119.04 / $140.04	Professional	26	$115.13	$119.04	$140.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $219.25 / $219.25 / $257.94	Professional	TC	$219.25	$219.25	$257.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $685.29 / $707.40 / $768.36	Professional		$685.29	$707.40	$768.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $223.10 / $236.62 / $250.14	Professional	26	$223.10	$236.62	$250.14
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $462.20 / $490.21 / $518.22	Professional	TC	$462.20	$490.21	$518.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $494.85	Professional		$32.34	$32.34	$494.85
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $652.08 / $758.35 / $759.98	Professional		$652.08	$758.35	$759.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $239.70 / $244.74 / $247.89	Professional	26	$239.70	$244.74	$247.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $404.19 / $513.91 / $515.24	Professional	TC	$404.19	$513.91	$515.24
United Facility/Professional Professional Modifier Low / Median / High Price $213.21 / $256.60 / $598.72	Professional		$213.21	$256.60	$598.72
United Facility/Professional Professional Modifier 26 Low / Median / High Price $83.32 / $91.60 / $152.66	Professional	26	$83.32	$91.60	$152.66
United Facility/Professional Professional Modifier TC Low / Median / High Price $129.88 / $165.00 / $379.16	Professional	TC	$129.88	$165.00	$379.16