Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.02 / $368.59 / $368.59	Professional		$184.02	$368.59	$368.59
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $34.64 / $44.92 / $47.49	Professional	26	$34.64	$44.92	$47.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $136.52 / $323.66 / $323.66	Professional	TC	$136.52	$323.66	$323.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.93 / $153.93 / $181.10	Professional		$153.93	$153.93	$181.10
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.98 / $20.26 / $23.84	Professional	26	$18.98	$20.26	$23.84
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $133.66 / $133.66 / $157.26	Professional	TC	$133.66	$133.66	$157.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.16 / $321.62 / $348.87	Professional		$311.16	$321.62	$348.87
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.29 / $38.50 / $40.70	Professional	26	$36.29	$38.50	$40.70
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $274.86 / $291.52 / $308.17	Professional	TC	$274.86	$291.52	$308.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $41.73 / $335.56	Professional		$32.34	$41.73	$335.56
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $198.66 / $350.36 / $353.64	Professional		$198.66	$350.36	$353.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $39.72 / $39.81 / $41.79	Professional	26	$39.72	$39.81	$41.79
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $156.87 / $310.20 / $313.83	Professional	TC	$156.87	$310.20	$313.83
United Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $109.78 / $182.97	Professional		$96.80	$109.78	$182.97
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.59 / $20.79 / $30.43	Professional	26	$15.59	$20.79	$30.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $66.37 / $94.19 / $158.25	Professional	TC	$66.37	$94.19	$158.25