Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $84.05 / $126.31	Professional		$66.95	$84.05	$126.31
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $44.39 / $51.23 / $79.44	Professional	26	$44.39	$51.23	$79.44
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $22.57 / $40.78 / $61.17	Professional	TC	$22.57	$40.78	$61.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.17 / $102.88 / $136.06	Professional		$64.17	$102.88	$136.06
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $38.89 / $57.00 / $78.31	Professional	26	$38.89	$57.00	$78.31
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $20.14 / $41.51 / $58.42	Professional	TC	$20.14	$41.51	$58.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $113.14 / $137.13	Professional		$80.91	$113.14	$137.13
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $40.46 / $56.58 / $68.58	Professional	26	$40.46	$56.58	$68.58
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $40.46 / $56.58 / $68.58	Professional	TC	$40.46	$56.58	$68.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $111.86	Professional		$32.34	$32.34	$111.86
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 $90.92 / $106.96 / $133.35	Professional		$90.92	$106.96	$133.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $44.83 / $52.74 / $74.95	Professional	26	$44.83	$52.74	$74.95
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $46.10 / $54.23 / $59.53	Professional	TC	$46.10	$54.23	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $69.48 / $92.00 / $125.29	Professional		$69.48	$92.00	$125.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $40.65 / $58.52 / $77.14	Professional	26	$40.65	$58.52	$77.14
United Facility/Professional Professional Modifier TC Low / Median / High Price $23.09 / $31.50 / $51.10	Professional	TC	$23.09	$31.50	$51.10