Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $56.58 / $76.01	Professional		$26.23	$56.58	$76.01
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.75 / $20.66 / $25.80	Professional	26	$13.75	$20.66	$25.80
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $12.47 / $38.79 / $51.90	Professional	TC	$12.47	$38.79	$51.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $57.90 / $78.58	Professional		$31.44	$57.90	$78.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $22.87 / $29.91	Professional	26	$15.45	$22.87	$29.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $14.41 / $35.89 / $50.86	Professional	TC	$14.41	$35.89	$50.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.76 / $70.98 / $86.04	Professional		$50.76	$70.98	$86.04
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $16.41 / $22.95 / $27.82	Professional	26	$16.41	$22.95	$27.82
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $34.35 / $48.03 / $58.22	Professional	TC	$34.35	$48.03	$58.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $32.34 / $69.42	Professional		$23.42	$32.34	$69.42
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $57.09 / $67.16 / $77.66	Professional		$57.09	$67.16	$77.66
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $18.18 / $21.39 / $30.41	Professional	26	$18.18	$21.39	$30.41
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.90 / $45.77 / $51.63	Professional	TC	$38.90	$45.77	$51.63
United Facility/Professional Professional Modifier Low / Median / High Price $30.24 / $43.32 / $69.54	Professional		$30.24	$43.32	$69.54
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.45 / $20.68 / $26.84	Professional	26	$15.45	$20.68	$26.84
United Facility/Professional Professional Modifier TC Low / Median / High Price $12.92 / $20.39 / $41.30	Professional	TC	$12.92	$20.39	$41.30