Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.79 / $10.79 / $10.79	Facility	26	$10.79	$10.79	$10.79
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $5.82 / $9.07 / $37.96	Professional	26	$5.82	$9.07	$37.96
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $20.53 / $27.10 / $132.18	Professional	TC	$20.53	$27.10	$132.18
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $24.25 / $36.36 / $46.39	Professional	26	$24.25	$36.36	$46.39
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $73.31 / $109.54 / $144.88	Professional	TC	$73.31	$109.54	$144.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $27.86 / $38.96 / $47.22	Professional	26	$27.86	$38.96	$47.22
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $87.40 / $122.22 / $148.13	Professional	TC	$87.40	$122.22	$148.13
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $30.87 / $36.32 / $51.63	Professional	26	$30.87	$36.32	$51.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $98.11 / $115.42 / $164.07	Professional	TC	$98.11	$115.42	$164.07
United Facility/Professional Professional Modifier 26 Low / Median / High Price $26.73 / $26.73 / $26.73	Professional	26	$26.73	$26.73	$26.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $84.95 / $84.95 / $139.60	Professional	TC	$84.95	$84.95	$139.60