Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $408.60 / $463.08 / $545.36	Facility	26	$408.60	$463.08	$545.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,068.84 / $1,422.16 / $1,692.37	Professional		$1,068.84	$1,422.16	$1,692.37
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $284.62 / $366.98 / $541.37	Professional	26	$284.62	$366.98	$541.37
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $779.44 / $1,033.01 / $1,248.61	Professional	TC	$779.44	$1,033.01	$1,248.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,505.26 / $1,765.88 / $2,057.19	Professional		$1,505.26	$1,765.88	$2,057.19
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $405.04 / $495.82 / $553.54	Professional	26	$405.04	$495.82	$553.54
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $1,100.22 / $1,246.92 / $1,503.64	Professional	TC	$1,100.22	$1,246.92	$1,503.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,588.88 / $1,685.18 / $1,925.92	Professional		$1,588.88	$1,685.18	$1,925.92
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $457.92 / $527.30 / $555.05	Professional	26	$457.92	$527.30	$555.05
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $1,130.94 / $1,302.30 / $1,370.84	Professional	TC	$1,130.94	$1,302.30	$1,370.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $1,087.86 / $1,706.78	Professional		$32.34	$1,087.86	$1,706.78
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,624.10 / $5,624.10 / $5,624.10	Facility	26	$5,624.10	$5,624.10	$5,624.10
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,530.31 / $1,530.31 / $1,660.46	Professional		$1,530.31	$1,530.31	$1,660.46
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $427.35 / $427.35 / $461.73	Professional	26	$427.35	$427.35	$461.73
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,102.96 / $1,102.96 / $1,198.73	Professional	TC	$1,102.96	$1,102.96	$1,198.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,091.86 / $1,552.48 / $2,032.37	Professional		$1,091.86	$1,552.48	$2,032.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $308.93 / $453.69 / $584.64	Professional	26	$308.93	$453.69	$584.64
United Facility/Professional Professional Modifier TC Low / Median / High Price $788.55 / $1,081.48 / $1,447.73	Professional	TC	$788.55	$1,081.48	$1,447.73