Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $259.89 / $260.64 / $290.52	Facility	26	$259.89	$260.64	$290.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.78 / $288.31 / $691.63	Professional		$248.78	$288.31	$691.63
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $144.26 / $165.65 / $259.89	Professional	26	$144.26	$165.65	$259.89
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $99.65 / $116.17 / $152.46	Professional	TC	$99.65	$116.17	$152.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.11 / $415.76 / $501.35	Professional		$348.11	$415.76	$501.35
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $212.73 / $258.68 / $311.93	Professional	26	$212.73	$258.68	$311.93
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $135.38 / $157.08 / $189.42	Professional	TC	$135.38	$157.08	$189.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $387.49 / $422.71 / $469.68	Professional		$387.49	$422.71	$469.68
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $246.58 / $261.52 / $298.88	Professional	26	$246.58	$261.52	$298.88
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $140.88 / $149.43 / $170.78	Professional	TC	$140.88	$149.43	$170.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $135.19 / $384.98	Professional		$32.34	$135.19	$384.98
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $946.29 / $946.29 / $946.29	Facility	26	$946.29	$946.29	$946.29
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $312.93 / $368.15 / $434.61	Professional		$312.93	$368.15	$434.61
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $194.95 / $229.35 / $277.42	Professional	26	$194.95	$229.35	$277.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $117.98 / $138.80 / $157.19	Professional	TC	$117.98	$138.80	$157.19
United Facility/Professional Professional Modifier Low / Median / High Price $279.30 / $383.49 / $520.11	Professional		$279.30	$383.49	$520.11
United Facility/Professional Professional Modifier 26 Low / Median / High Price $169.09 / $226.22 / $308.73	Professional	26	$169.09	$226.22	$308.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $109.82 / $148.72 / $196.52	Professional	TC	$109.82	$148.72	$196.52