Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $50.83 / $86.47	Professional		$29.85	$50.83	$86.47
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.55 / $24.16 / $36.86	Professional	26	$19.55	$24.16	$36.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $10.31 / $23.10 / $54.79	Professional	TC	$10.31	$23.10	$54.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $68.18 / $91.55	Professional		$36.88	$68.18	$91.55
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.53 / $32.25 / $42.02	Professional	26	$21.53	$32.25	$42.02
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $11.80 / $36.53 / $52.60	Professional	TC	$11.80	$36.53	$52.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.54 / $83.26 / $100.92	Professional		$59.54	$83.26	$100.92
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $23.28 / $32.54 / $39.46	Professional	26	$23.28	$32.54	$39.46
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $36.26 / $50.70 / $61.46	Professional	TC	$36.26	$50.70	$61.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.76 / $32.34 / $54.13	Professional		$27.76	$32.34	$54.13
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 $67.23 / $79.09 / $93.34	Professional		$67.23	$79.09	$93.34
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $25.80 / $30.35 / $43.14	Professional	26	$25.80	$30.35	$43.14
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $41.45 / $48.76 / $54.26	Professional	TC	$41.45	$48.76	$54.26
United Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $49.27 / $81.73	Professional		$35.42	$49.27	$81.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $21.70 / $29.50 / $41.55	Professional	26	$21.70	$29.50	$41.55
United Facility/Professional Professional Modifier TC Low / Median / High Price $11.48 / $20.78 / $42.47	Professional	TC	$11.48	$20.78	$42.47