Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $467.74 / $501.19 / $501.19	Facility	26	$467.74	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $1,737.80	Professional		$1,071.52	$1,479.11	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $389.05 / $602.56	Professional	26	$263.03	$389.05	$602.56
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $776.25 / $1,047.13 / $1,258.93	Professional	TC	$776.25	$1,047.13	$1,258.93
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	26	$5,623.41	$5,623.41	$5,623.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $1,949.84	Professional		$1,584.89	$1,905.46	$1,949.84
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $446.68 / $549.54 / $562.34	Professional	26	$446.68	$549.54	$562.34
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $1,122.02 / $1,348.96 / $1,380.38	Professional	TC	$1,122.02	$1,348.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $2,187.76	Professional		$1,318.26	$1,862.09	$2,187.76
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $389.05 / $501.19 / $602.56	Professional	26	$389.05	$501.19	$602.56
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $933.25 / $1,348.96 / $1,621.81	Professional	TC	$933.25	$1,348.96	$1,621.81
Moda Health Facility/Professional Facility Modifier 26 Low / Median / High Price $407.38 / $467.74 / $588.84	Facility	26	$407.38	$467.74	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,238.72	Professional		$1,412.54	$1,778.28	$2,238.72
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $331.13 / $501.19 / $588.84	Professional	26	$331.13	$501.19	$588.84
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $954.99 / $1,258.93 / $1,659.59	Professional	TC	$954.99	$1,258.93	$1,659.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility	26	$5,623.41	$5,623.41	$5,623.41
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $1,698.24	Professional		$1,513.56	$1,548.82	$1,698.24
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $426.58 / $446.68 / $478.63	Professional	26	$426.58	$446.68	$478.63
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $1,096.48 / $1,096.48 / $1,230.27	Professional	TC	$1,096.48	$1,096.48	$1,230.27
Select Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $8,317.64	Professional		$933.25	$1,584.89	$8,317.64
Select Health Facility/Professional Professional Modifier 26 Low / Median / High Price $263.03 / $263.03 / $478.63	Professional	26	$263.03	$263.03	$478.63
Select Health Facility/Professional Professional Modifier TC Low / Median / High Price $660.69 / $660.69 / $1,230.27	Professional	TC	$660.69	$660.69	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $1,949.84	Professional		$1,148.15	$1,513.56	$1,949.84
United Facility/Professional Professional Modifier 26 Low / Median / High Price $323.59 / $446.68 / $575.44	Professional	26	$323.59	$446.68	$575.44
United Facility/Professional Professional Modifier TC Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional	TC	$812.83	$1,071.52	$1,412.54