Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.12 / $201.92 / $258.08	Professional		$194.12	$201.92	$258.08
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $63.15 / $63.15	Professional	26	$49.35	$63.15	$63.15
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $138.77 / $138.77 / $204.02	Professional	TC	$138.77	$138.77	$204.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $88.75 / $104.41	Professional		$88.75	$88.75	$104.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.74 / $27.76 / $32.65	Professional	26	$26.74	$27.76	$32.65
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $60.99 / $60.99 / $71.75	Professional	TC	$60.99	$60.99	$71.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $174.52 / $184.08 / $195.67	Professional		$174.52	$184.08	$195.67
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $51.23 / $54.34 / $57.44	Professional	26	$51.23	$54.34	$57.44
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $123.29 / $130.76 / $138.22	Professional	TC	$123.29	$130.76	$138.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.93 / $190.67	Professional		$32.34	$58.93	$190.67
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $196.14 / $196.14	Professional		$174.04	$196.14	$196.14
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $55.87 / $56.21 / $57.82	Professional	26	$55.87	$56.21	$57.82
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $116.22 / $139.93 / $139.93	Professional	TC	$116.22	$139.93	$139.93
United Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $115.13 / $161.18	Professional		$69.08	$115.13	$161.18
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.44 / $35.72 / $41.80	Professional	26	$21.44	$35.72	$41.80
United Facility/Professional Professional Modifier TC Low / Median / High Price $47.64 / $79.40 / $122.33	Professional	TC	$47.64	$79.40	$122.33