Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.08 / $170.38 / $265.44	Professional		$130.08	$170.38	$265.44
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.04 / $85.60 / $124.46	Professional	26	$75.04	$85.60	$124.46
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $55.03 / $84.99 / $130.10	Professional	TC	$55.03	$84.99	$130.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.33 / $274.70 / $327.41	Professional		$207.33	$274.70	$327.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $101.51 / $134.44 / $160.25	Professional	26	$101.51	$134.44	$160.25
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $109.35 / $138.63 / $167.17	Professional	TC	$109.35	$138.63	$167.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.58 / $261.52 / $298.88	Professional		$246.58	$261.52	$298.88
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $126.49 / $134.16 / $153.32	Professional	26	$126.49	$134.16	$153.32
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $120.09 / $127.37 / $145.56	Professional	TC	$120.09	$127.37	$145.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $113.65 / $215.85	Professional		$32.34	$113.65	$215.85
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $217.18 / $217.18 / $217.18	Facility	26	$217.18	$217.18	$217.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $202.14 / $237.81 / $280.00	Professional		$202.14	$237.81	$280.00
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $100.65 / $118.41 / $142.94	Professional	26	$100.65	$118.41	$142.94
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $101.49 / $119.40 / $137.05	Professional	TC	$101.49	$119.40	$137.05
United Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $228.89 / $340.91	Professional		$153.99	$228.89	$340.91
United Facility/Professional Professional Modifier 26 Low / Median / High Price $85.17 / $115.64 / $165.20	Professional	26	$85.17	$115.64	$165.20
United Facility/Professional Professional Modifier TC Low / Median / High Price $64.43 / $107.38 / $170.69	Professional	TC	$64.43	$107.38	$170.69