Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $63.50 / $74.56	Professional		$55.96	$63.50	$74.56
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $16.85 / $20.07 / $20.60	Professional	26	$16.85	$20.07	$20.60
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $38.79 / $44.32 / $54.50	Professional	TC	$38.79	$44.32	$54.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.15 / $74.08 / $102.69	Professional		$54.15	$74.08	$102.69
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.79 / $22.45 / $30.12	Professional	26	$15.79	$22.45	$30.12
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $38.34 / $51.15 / $68.00	Professional	TC	$38.34	$51.15	$68.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $66.18 / $80.22	Professional		$47.33	$66.18	$80.22
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $15.65 / $21.88 / $26.52	Professional	26	$15.65	$21.88	$26.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $31.68 / $44.30 / $53.70	Professional	TC	$31.68	$44.30	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $32.34 / $64.84	Professional		$22.44	$32.34	$64.84
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 $55.82 / $65.67 / $93.35	Professional		$55.82	$65.67	$93.35
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $17.77 / $20.90 / $29.70	Professional	26	$17.77	$20.90	$29.70
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $38.22 / $45.28 / $63.65	Professional	TC	$38.22	$45.28	$63.65
United Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $72.48 / $99.28	Professional		$55.32	$72.48	$99.28
United Facility/Professional Professional Modifier 26 Low / Median / High Price $15.75 / $20.64 / $28.36	Professional	26	$15.75	$20.64	$28.36
United Facility/Professional Professional Modifier TC Low / Median / High Price $37.95 / $51.75 / $68.98	Professional	TC	$37.95	$51.75	$68.98