Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $86.17 / $96.28	Professional		$52.28	$86.17	$96.28
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $23.22 / $35.51 / $77.88	Professional	26	$23.22	$35.51	$77.88
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $26.14 / $44.17 / $48.14	Professional	52	$26.14	$44.17	$48.14
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $29.05 / $53.46 / $63.61	Professional	TC	$29.05	$53.46	$63.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.28 / $87.20 / $110.68	Professional		$57.28	$87.20	$110.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.73 / $38.78 / $50.10	Professional	26	$24.73	$38.78	$50.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $32.28 / $48.41 / $60.58	Professional	TC	$32.28	$48.41	$60.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $94.92 / $115.66	Facility		$61.62	$94.92	$115.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $100.86 / $122.26	Professional		$68.47	$100.86	$122.26
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $28.62 / $42.16 / $51.10	Professional	26	$28.62	$42.16	$51.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $39.85 / $58.71 / $71.16	Professional	TC	$39.85	$58.71	$71.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $49.85 / $99.24	Professional		$32.34	$49.85	$99.24
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $85.01 / $85.12 / $101.39	Professional		$85.01	$85.12	$101.39
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $35.39 / $35.39 / $44.85	Professional	26	$35.39	$35.39	$44.85
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $48.97 / $49.73 / $56.54	Professional	TC	$48.97	$49.73	$56.54
United Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $85.44 / $118.35	Professional		$67.45	$85.44	$118.35
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.68 / $33.21 / $45.24	Professional	26	$22.68	$33.21	$45.24
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.00 / $50.00 / $78.26	Professional	TC	$38.00	$50.00	$78.26