Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.31 / $424.72 / $714.81	Professional		$316.31	$424.72	$714.81
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $264.98 / $372.20 / $627.58	Professional	TC	$264.98	$372.20	$627.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.20 / $635.92 / $766.85	Professional		$454.20	$635.92	$766.85
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $385.68 / $542.54 / $654.24	Professional	TC	$385.68	$542.54	$654.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $667.67 / $708.14 / $809.30	Professional		$667.67	$708.14	$809.30
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $579.08 / $614.17 / $701.92	Professional	TC	$579.08	$614.17	$701.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $89.93 / $620.28	Professional		$32.34	$89.93	$620.28
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 $524.37 / $616.90 / $710.44	Professional		$524.37	$616.90	$710.44
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $453.75 / $533.82 / $610.04	Professional	TC	$453.75	$533.82	$610.04
United Facility/Professional Professional Modifier Low / Median / High Price $332.42 / $521.22 / $754.11	Professional		$332.42	$521.22	$754.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.45 / $443.67 / $641.91	Professional	TC	$294.45	$443.67	$641.91