Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.54 / $180.53 / $280.63	Professional		$153.54	$180.53	$280.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $47.67 / $64.15 / $90.52	Professional	26	$47.67	$64.15	$90.52
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $84.36 / $116.95 / $190.10	Professional	TC	$84.36	$116.95	$190.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $464.84 / $595.58	Professional		$312.39	$464.84	$595.58
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $61.64 / $87.04 / $114.21	Professional	26	$61.64	$87.04	$114.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $254.72 / $375.00 / $485.41	Professional	TC	$254.72	$375.00	$485.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $458.43 / $458.43 / $552.52	Professional		$458.43	$458.43	$552.52
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.26 / $88.26 / $100.24	Professional	26	$88.26	$88.26	$100.24
Hally Health Facility/Professional Professional Modifier TC Low / Median / High Price $358.19 / $358.19 / $464.26	Professional	TC	$358.19	$358.19	$464.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $468.07 / $510.62 / $567.36	Professional		$468.07	$510.62	$567.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $92.33 / $97.93 / $111.92	Professional	26	$92.33	$97.93	$111.92
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $375.74 / $398.51 / $455.44	Professional	TC	$375.74	$398.51	$455.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $93.64 / $292.20	Professional		$32.34	$93.64	$292.20
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $211.40 / $211.40 / $211.40	Facility	26	$211.40	$211.40	$211.40
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $435.67 / $488.55 / $511.08	Professional		$435.67	$488.55	$511.08
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $79.93 / $86.57 / $97.54	Professional	26	$79.93	$86.57	$97.54
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $354.00 / $401.98 / $413.54	Professional	TC	$354.00	$401.98	$413.54
United Facility/Professional Professional Modifier Low / Median / High Price $333.85 / $454.67 / $599.08	Professional		$333.85	$454.67	$599.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $61.71 / $85.26 / $116.27	Professional	26	$61.71	$85.26	$116.27
United Facility/Professional Professional Modifier TC Low / Median / High Price $256.24 / $376.30 / $482.81	Professional	TC	$256.24	$376.30	$482.81