Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.73 / $227.97 / $253.89	Facility	26	$189.73	$227.97	$253.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.47 / $842.74 / $1,229.23	Professional		$691.47	$842.74	$1,229.23
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $123.67 / $142.54 / $349.98	Professional	26	$123.67	$142.54	$349.98
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $318.50 / $410.96 / $516.49	Professional	52	$318.50	$410.96	$516.49
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $562.60 / $694.51 / $1,006.84	Professional	TC	$562.60	$694.51	$1,006.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $874.84 / $1,028.99 / $1,195.61	Professional		$874.84	$1,028.99	$1,195.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $180.27 / $213.38 / $246.37	Professional	26	$180.27	$213.38	$246.37
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $694.57 / $833.49 / $949.25	Professional	TC	$694.57	$833.49	$949.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,051.43 / $1,115.15 / $1,310.06	Professional		$1,051.43	$1,115.15	$1,310.06
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $193.20 / $210.76 / $248.12	Professional	26	$193.20	$210.76	$248.12
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $858.21 / $936.23 / $1,040.26	Professional	TC	$858.21	$936.23	$1,040.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $219.59 / $1,019.52	Professional		$32.34	$219.59	$1,019.52
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,784.45 / $1,784.45 / $1,784.45	Facility	26	$1,784.45	$1,784.45	$1,784.45
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $706.97 / $973.61 / $1,087.57	Professional		$706.97	$973.61	$1,087.57
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $130.41 / $179.60 / $219.09	Professional	26	$130.41	$179.60	$219.09
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $576.55 / $794.01 / $868.48	Professional	TC	$576.55	$794.01	$868.48
United Facility/Professional Professional Modifier Low / Median / High Price $683.24 / $945.38 / $1,258.59	Professional		$683.24	$945.38	$1,258.59
United Facility/Professional Professional Modifier 26 Low / Median / High Price $133.91 / $184.14 / $262.01	Professional	26	$133.91	$184.14	$262.01
United Facility/Professional Professional Modifier TC Low / Median / High Price $547.20 / $769.56 / $1,022.40	Professional	TC	$547.20	$769.56	$1,022.40