Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.28 / $477.60 / $637.12	Facility		$159.28	$477.60	$637.12
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.53 / $92.53 / $92.53	Facility	26	$92.53	$92.53	$92.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $215.94 / $256.95	Professional		$120.95	$215.94	$256.95
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $46.94 / $77.76 / $92.53	Professional	26	$46.94	$77.76	$92.53
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $74.00 / $138.16 / $164.42	Professional	TC	$74.00	$138.16	$164.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.95 / $95.95 / $112.88	Professional		$95.95	$95.95	$112.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $33.10 / $34.44 / $40.51	Professional	26	$33.10	$34.44	$40.51
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $61.51 / $61.51 / $72.36	Professional	TC	$61.51	$61.51	$72.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.27 / $168.11 / $226.74	Facility		$140.27	$168.11	$226.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.54 / $191.74 / $213.64	Professional		$190.54	$191.74	$213.64
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $64.05 / $67.94 / $71.81	Professional	26	$64.05	$67.94	$71.81
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $126.49 / $134.16 / $141.82	Professional	TC	$126.49	$134.16	$141.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $208.83	Professional		$32.34	$32.34	$208.83
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $191.74 / $211.37 / $216.98	Professional		$191.74	$211.37	$216.98
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $69.37 / $70.26 / $74.43	Professional	26	$69.37	$70.26	$74.43
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $122.37 / $141.11 / $142.55	Professional	TC	$122.37	$141.11	$142.55
United Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $76.44 / $143.68	Professional		$72.29	$76.44	$143.68
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.42 / $30.64 / $61.64	Professional	26	$26.42	$30.64	$61.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.65 / $50.02 / $83.37	Professional	TC	$41.65	$50.02	$83.37