Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $49.38 / $51.85	Professional		$27.67	$49.38	$51.85
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.70 / $19.41 / $25.18	Professional	26	$13.70	$19.41	$25.18
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $14.00 / $25.58 / $35.96	Professional	TC	$14.00	$25.58	$35.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $46.43 / $62.25	Professional		$30.80	$46.43	$62.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $14.70 / $22.80 / $29.12	Professional	26	$14.70	$22.80	$29.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $15.75 / $23.63 / $32.29	Professional	TC	$15.75	$23.63	$32.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.96 / $51.78 / $77.33	Facility		$35.96	$51.78	$77.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $53.38 / $64.70	Professional		$36.22	$53.38	$64.70
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $17.02 / $25.08 / $30.40	Professional	26	$17.02	$25.08	$30.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $19.20 / $28.28 / $34.28	Professional	TC	$19.20	$28.28	$34.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $28.37 / $52.45	Professional		$22.55	$28.37	$52.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $44.80 / $53.93	Professional		$44.80	$44.80	$53.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.06 / $21.06 / $26.59	Professional	26	$21.06	$21.06	$26.59
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $23.56 / $23.74 / $27.34	Professional	TC	$23.56	$23.74	$27.34
United Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $47.51 / $64.79	Professional		$36.00	$47.51	$64.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $13.55 / $19.55 / $26.00	Professional	26	$13.55	$19.55	$26.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.62 / $24.70 / $40.84	Professional	TC	$18.62	$24.70	$40.84