Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $28.84 / $39.81	Professional		$25.70	$28.84	$39.81
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.88 / $25.12 / $33.88	Professional	26	$21.88	$25.12	$33.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $3.02 / $3.98 / $6.03	Professional	TC	$3.02	$3.98	$6.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $102.33	Professional		$20.42	$33.11	$102.33
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $29.51 / $91.20	Professional	26	$19.50	$29.51	$91.20
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $4.17 / $61.66	Professional	TC	$1.12	$4.17	$61.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $128.82	Professional		$40.74	$67.61	$128.82
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $34.67 / $60.26 / $75.86	Professional	26	$34.67	$60.26	$75.86
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $5.75 / $7.59 / $12.02	Professional	TC	$5.75	$7.59	$12.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $114.82	Professional		$40.74	$67.61	$114.82
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $36.31 / $60.26 / $97.72	Professional	26	$36.31	$60.26	$97.72
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $6.03 / $11.48 / $17.38	Professional	TC	$6.03	$11.48	$17.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $100.00	Professional		$20.42	$36.31	$100.00
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $19.50 / $30.90 / $91.20	Professional	26	$19.50	$30.90	$91.20
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $1.12 / $4.79 / $12.02	Professional	TC	$1.12	$4.79	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $72.44 / $81.28	Professional		$28.18	$72.44	$81.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $63.10 / $70.79	Professional	26	$16.98	$63.10	$70.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $3.98 / $8.91 / $35.48	Professional	TC	$3.98	$8.91	$35.48