Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $141.99 / $141.99 / $157.94	Facility	26	$141.99	$141.99	$157.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.98 / $435.74 / $755.46	Professional		$365.98	$435.74	$755.46
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $81.31 / $98.09 / $273.00	Professional	26	$81.31	$98.09	$273.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $284.67 / $358.03 / $623.53	Professional	TC	$284.67	$358.03	$623.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.77 / $688.61 / $791.70	Professional		$482.77	$688.61	$791.70
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $111.61 / $142.71 / $170.09	Professional	26	$111.61	$142.71	$170.09
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $380.21 / $532.45 / $621.62	Professional	TC	$380.21	$532.45	$621.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $709.32 / $752.31 / $859.78	Professional		$709.32	$752.31	$859.78
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $133.96 / $142.08 / $162.38	Professional	26	$133.96	$142.08	$162.38
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $575.36 / $610.23 / $697.40	Professional	TC	$575.36	$610.23	$697.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $151.52 / $689.05	Professional		$32.34	$151.52	$689.05
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $562.42 / $661.68 / $735.45	Professional		$562.42	$661.68	$735.45
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $106.56 / $125.37 / $150.94	Professional	26	$106.56	$125.37	$150.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $455.86 / $536.30 / $584.51	Professional	TC	$455.86	$536.30	$584.51
United Facility/Professional Professional Modifier Low / Median / High Price $416.83 / $600.59 / $785.39	Professional		$416.83	$600.59	$785.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $91.45 / $126.01 / $174.29	Professional	26	$91.45	$126.01	$174.29
United Facility/Professional Professional Modifier TC Low / Median / High Price $326.97 / $467.57 / $634.20	Professional	TC	$326.97	$467.57	$634.20