Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $78.02 / $133.88	Professional		$61.19	$78.02	$133.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $9.47 / $11.70 / $25.55	Professional	26	$9.47	$11.70	$25.55
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $51.72 / $66.31 / $108.33	Professional	TC	$51.72	$66.31	$108.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $43.95 / $65.44	Professional		$17.95	$43.95	$65.44
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.51 / $7.71 / $10.79	Professional	26	$7.51	$7.71	$10.79
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $36.44 / $39.18 / $54.65	Professional	TC	$36.44	$39.18	$54.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $158.16 / $176.94	Professional		$126.81	$158.16	$176.94
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $24.17 / $25.23 / $39.34	Professional	26	$24.17	$25.23	$39.34
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $102.66 / $131.31 / $167.13	Professional	TC	$102.66	$131.31	$167.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $132.60 / $220.05	Professional		$74.48	$132.60	$220.05
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $11.43 / $22.10 / $33.75	Professional	26	$11.43	$22.10	$33.75
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $63.07 / $110.50 / $186.30	Professional	TC	$63.07	$110.50	$186.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $104.30 / $223.50	Professional		$43.95	$104.30	$223.50
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $8.21 / $19.50 / $39.00	Professional	26	$8.21	$19.50	$39.00
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $43.00 / $91.00 / $184.50	Professional	TC	$43.00	$91.00	$184.50
United Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $112.42 / $189.89	Professional		$37.79	$112.42	$189.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $8.60 / $16.98 / $25.34	Professional	26	$8.60	$16.98	$25.34
United Facility/Professional Professional Modifier TC Low / Median / High Price $30.10 / $91.68 / $151.16	Professional	TC	$30.10	$91.68	$151.16