Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.01 / $98.37 / $117.06	Professional		$38.01	$98.37	$117.06
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.53 / $56.67 / $67.43	Professional	26	$26.53	$56.67	$67.43
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $41.71 / $49.63	Professional	TC	$11.48	$41.71	$49.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.98 / $42.98 / $50.56	Professional		$42.98	$42.98	$50.56
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.24 / $25.17 / $29.61	Professional	26	$24.24	$25.17	$29.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $17.80 / $17.80 / $20.95	Professional	TC	$17.80	$17.80	$20.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $76.17 / $108.21	Facility		$55.04	$76.17	$108.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $89.75 / $98.14	Professional		$87.53	$89.75	$98.14
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $44.88 / $47.50 / $53.26	Professional	26	$44.88	$47.50	$53.26
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.03 / $42.46 / $44.88	Professional	TC	$40.03	$42.46	$44.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $42.67 / $96.78	Professional		$32.34	$42.67	$96.78
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $94.87 / $95.44	Professional		$86.45	$94.87	$95.44
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.73 / $51.52 / $52.10	Professional	26	$50.73	$51.52	$52.10
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $34.35 / $43.07 / $43.91	Professional	TC	$34.35	$43.07	$43.91
United Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $33.35 / $60.48	Professional		$24.51	$33.35	$60.48
United Facility/Professional Professional Modifier 26 Low / Median / High Price $17.57 / $19.48 / $32.47	Professional	26	$17.57	$19.48	$32.47
United Facility/Professional Professional Modifier TC Low / Median / High Price $6.94 / $13.86 / $23.10	Professional	TC	$6.94	$13.86	$23.10