Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.88 / $1,169.97 / $1,169.97	Professional		$516.88	$1,169.97	$1,169.97
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $86.82 / $196.51 / $196.51	Professional	26	$86.82	$196.51	$196.51
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $430.06 / $973.46 / $973.46	Professional	TC	$430.06	$973.46	$973.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $235.95 / $235.95	Professional		$235.95	$235.95	$235.95
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $56.37 / $56.37	Professional	26	$56.37	$56.37	$56.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $179.58 / $179.58 / $179.58	Professional	TC	$179.58	$179.58	$179.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.29 / $640.29 / $1,429.75	Professional		$640.29	$640.29	$1,429.75
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $117.73 / $117.73 / $117.73	Professional	26	$117.73	$117.73	$117.73
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $522.55 / $522.55 / $522.55	Professional	TC	$522.55	$522.55	$522.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $1,021.25 / $1,515.00	Professional		$269.70	$1,021.25	$1,515.00
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $59.41 / $151.25 / $221.43	Professional	26	$59.41	$151.25	$221.43
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $210.29 / $870.00 / $1,326.00	Professional	TC	$210.29	$870.00	$1,326.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.95 / $1,078.75 / $1,805.60	Professional		$235.95	$1,078.75	$1,805.60
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $56.37 / $152.50 / $236.80	Professional	26	$56.37	$152.50	$236.80
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $179.58 / $926.25 / $1,568.80	Professional	TC	$179.58	$926.25	$1,568.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.55 / $1,205.55 / $1,205.55	Professional		$1,205.55	$1,205.55	$1,205.55
United Facility/Professional Professional Modifier 26 Low / Median / High Price $192.90 / $192.90 / $192.90	Professional	26	$192.90	$192.90	$192.90
United Facility/Professional Professional Modifier TC Low / Median / High Price $1,012.65 / $1,012.65 / $1,012.65	Professional	TC	$1,012.65	$1,012.65	$1,012.65