Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.48 / $93.48 / $105.07	Facility	26	$93.48	$93.48	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.82 / $425.21 / $713.20	Professional		$302.82	$425.21	$713.20
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.55 / $64.88 / $180.00	Professional	26	$51.55	$64.88	$180.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $251.27 / $338.33 / $576.02	Professional	TC	$251.27	$338.33	$576.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $433.58 / $581.82 / $701.61	Professional		$433.58	$581.82	$701.61
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $93.96 / $111.99	Professional	26	$69.87	$93.96	$111.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $365.06 / $488.95 / $589.62	Professional	TC	$365.06	$488.95	$589.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $620.19 / $657.77 / $751.74	Professional		$620.19	$657.77	$751.74
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $88.61 / $93.98 / $107.40	Professional	26	$88.61	$93.98	$107.40
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $531.58 / $563.79 / $644.34	Professional	TC	$531.58	$563.79	$644.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $291.95 / $600.85	Professional		$32.34	$291.95	$600.85
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 $501.11 / $589.54 / $654.26	Professional		$501.11	$589.54	$654.26
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $70.62 / $83.08 / $99.83	Professional	26	$70.62	$83.08	$99.83
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $430.49 / $506.46 / $554.42	Professional	TC	$430.49	$506.46	$554.42
United Facility/Professional Professional Modifier Low / Median / High Price $356.40 / $513.29 / $700.39	Professional		$356.40	$513.29	$700.39
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.20 / $78.73 / $111.53	Professional	26	$59.20	$78.73	$111.53
United Facility/Professional Professional Modifier TC Low / Median / High Price $282.20 / $407.01 / $588.86	Professional	TC	$282.20	$407.01	$588.86