Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.19 / $116.47 / $206.83	Professional		$93.19	$116.47	$206.83
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $62.67 / $84.40 / $117.76	Professional	26	$62.67	$84.40	$117.76
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $30.51 / $54.52 / $77.38	Professional	TC	$30.51	$54.52	$77.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.52 / $152.68 / $199.98	Professional		$92.52	$152.68	$199.98
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $63.60 / $93.77 / $123.00	Professional	26	$63.60	$93.77	$123.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $27.25 / $52.25 / $73.54	Professional	TC	$27.25	$52.25	$73.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.09 / $166.52 / $201.84	Professional		$119.09	$166.52	$201.84
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $67.94 / $95.01 / $115.16	Professional	26	$67.94	$95.01	$115.16
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $51.14 / $71.51 / $86.68	Professional	TC	$51.14	$71.51	$86.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $39.21 / $165.60	Professional		$32.34	$39.21	$165.60
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 $132.79 / $156.22 / $203.16	Professional		$132.79	$156.22	$203.16
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $74.84 / $88.06 / $125.17	Professional	26	$74.84	$88.06	$125.17
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $57.94 / $68.16 / $74.81	Professional	TC	$57.94	$68.16	$74.81
United Facility/Professional Professional Modifier Low / Median / High Price $96.52 / $134.88 / $171.41	Professional		$96.52	$134.88	$171.41
United Facility/Professional Professional Modifier 26 Low / Median / High Price $64.81 / $91.09 / $173.79	Professional	26	$64.81	$91.09	$173.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $29.29 / $42.32 / $61.61	Professional	TC	$29.29	$42.32	$61.61