Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.79 / $60.32 / $85.90	Professional		$37.79	$60.32	$85.90
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.35 / $24.87 / $36.17	Professional	26	$21.35	$24.87	$36.17
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $16.44 / $27.55 / $53.05	Professional	TC	$16.44	$27.55	$53.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $66.62 / $91.05	Professional		$36.27	$66.62	$91.05
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $19.12 / $28.23 / $41.10	Professional	26	$19.12	$28.23	$41.10
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $16.09 / $35.22 / $50.86	Professional	TC	$16.09	$35.22	$50.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $54.96 / $76.86 / $93.16	Professional		$54.96	$76.86	$93.16
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $19.85 / $27.75 / $33.64	Professional	26	$19.85	$27.75	$33.64
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $35.11 / $49.10 / $59.52	Professional	TC	$35.11	$49.10	$59.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $32.34 / $75.44	Professional		$26.88	$32.34	$75.44
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $47.86 / $47.86 / $47.86	Facility	26	$47.86	$47.86	$47.86
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $72.64 / $83.93	Professional		$61.74	$72.64	$83.93
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $21.99 / $25.87 / $36.77	Professional	26	$21.99	$25.87	$36.77
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $39.75 / $46.77 / $52.15	Professional	TC	$39.75	$46.77	$52.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $54.05 / $71.98	Professional		$38.76	$54.05	$71.98
United Facility/Professional Professional Modifier 26 Low / Median / High Price $20.14 / $28.35 / $37.79	Professional	26	$20.14	$28.35	$37.79
United Facility/Professional Professional Modifier TC Low / Median / High Price $18.04 / $26.22 / $38.64	Professional	TC	$18.04	$26.22	$38.64