Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $94.00 / $94.18 / $105.07	Facility	26	$94.00	$94.18	$105.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.67 / $453.75 / $833.18	Professional		$338.67	$453.75	$833.18
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $51.33 / $73.58 / $239.00	Professional	26	$51.33	$73.58	$239.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $287.33 / $401.57 / $686.43	Professional	TC	$287.33	$401.57	$686.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $504.22 / $696.79 / $840.25	Professional		$504.22	$696.79	$840.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $69.87 / $94.49 / $112.62	Professional	26	$69.87	$94.49	$112.62
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $435.70 / $603.40 / $727.63	Professional	TC	$435.70	$603.40	$727.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $722.12 / $765.89 / $875.30	Professional		$722.12	$765.89	$875.30
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 $633.52 / $671.91 / $767.90	Professional	TC	$633.52	$671.91	$767.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $100.21 / $698.78	Professional		$32.34	$100.21	$698.78
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 $577.23 / $679.09 / $758.11	Professional		$577.23	$679.09	$758.11
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 $506.61 / $596.01 / $658.28	Professional	TC	$506.61	$596.01	$658.28
United Facility/Professional Professional Modifier Low / Median / High Price $404.64 / $574.80 / $831.65	Professional		$404.64	$574.80	$831.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $59.55 / $80.84 / $115.50	Professional	26	$59.55	$80.84	$115.50
United Facility/Professional Professional Modifier TC Low / Median / High Price $220.03 / $496.54 / $719.44	Professional	TC	$220.03	$496.54	$719.44