Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $118.13 / $118.13 / $118.13	Facility	26	$118.13	$118.13	$118.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.04 / $480.42 / $803.88	Professional		$428.04	$480.42	$803.88
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $58.61 / $65.31 / $99.27	Professional	26	$58.61	$65.31	$99.27
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $369.41 / $414.53 / $674.47	Professional	TC	$369.41	$414.53	$674.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.73 / $681.44 / $777.88	Professional		$513.73	$681.44	$777.88
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $83.88 / $99.70 / $118.37	Professional	26	$83.88	$99.70	$118.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $443.98 / $582.37 / $663.25	Professional	TC	$443.98	$582.37	$663.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $702.37 / $744.94 / $851.36	Professional		$702.37	$744.94	$851.36
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $89.66 / $97.81 / $115.48	Professional	26	$89.66	$97.81	$115.48
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $612.71 / $649.85 / $742.68	Professional	TC	$612.71	$649.85	$742.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $102.06 / $678.35	Professional		$32.34	$102.06	$678.35
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $946.29 / $946.29 / $946.29	Facility	26	$946.29	$946.29	$946.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $468.18 / $644.76 / $712.64	Professional		$468.18	$644.76	$712.64
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $60.69 / $83.58 / $101.78	Professional	26	$60.69	$83.58	$101.78
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $407.49 / $561.17 / $610.86	Professional	TC	$407.49	$561.17	$610.86
United Facility/Professional Professional Modifier Low / Median / High Price $441.72 / $601.23 / $892.30	Professional		$441.72	$601.23	$892.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $62.65 / $92.23 / $131.50	Professional	26	$62.65	$92.23	$131.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $380.08 / $519.44 / $764.29	Professional	TC	$380.08	$519.44	$764.29