Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $91.62 / $182.22	Professional		$65.54	$91.62	$182.22
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $42.25 / $57.47 / $77.79	Professional	26	$42.25	$57.47	$77.79
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $23.28 / $43.92 / $65.80	Professional	TC	$23.28	$43.92	$65.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $114.45 / $150.04	Professional		$66.53	$114.45	$150.04
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.50 / $63.97 / $84.04	Professional	26	$43.50	$63.97	$84.04
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $21.83 / $44.81 / $63.07	Professional	TC	$21.83	$44.81	$63.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.69 / $125.42 / $152.02	Professional		$89.69	$125.42	$152.02
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $46.19 / $64.58 / $78.28	Professional	26	$46.19	$64.58	$78.28
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $43.52 / $60.85 / $73.76	Professional	TC	$43.52	$60.85	$73.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $33.34 / $124.20	Professional		$32.34	$33.34	$124.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $72.06 / $72.06 / $72.06	Facility	26	$72.06	$72.06	$72.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $117.91 / $149.04	Professional		$100.22	$117.91	$149.04
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $50.75 / $59.70 / $84.86	Professional	26	$50.75	$59.70	$84.86
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $49.48 / $58.21 / $64.27	Professional	TC	$49.48	$58.21	$64.27
United Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $94.67 / $126.89	Professional		$67.26	$94.67	$126.89
United Facility/Professional Professional Modifier 26 Low / Median / High Price $44.64 / $61.38 / $78.50	Professional	26	$44.64	$61.38	$78.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $22.94 / $33.49 / $50.87	Professional	TC	$22.94	$33.49	$50.87