Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $271.95 / $271.95 / $271.95	Facility	26	$271.95	$271.95	$271.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $333.40 / $537.78	Professional		$288.05	$333.40	$537.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $171.19 / $196.59 / $308.22	Professional	26	$171.19	$196.59	$308.22
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $110.58 / $129.86 / $174.46	Professional	TC	$110.58	$129.86	$174.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.86 / $483.28 / $582.78	Professional		$403.86	$483.28	$582.78
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $252.26 / $306.43 / $369.52	Professional	26	$252.26	$306.43	$369.52
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $151.60 / $176.85 / $213.26	Professional	TC	$151.60	$176.85	$213.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $453.67 / $494.91 / $549.90	Professional		$453.67	$494.91	$549.90
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $292.48 / $310.20 / $354.52	Professional	26	$292.48	$310.20	$354.52
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $161.19 / $170.96 / $195.38	Professional	TC	$161.19	$170.96	$195.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $172.40 / $451.13	Professional		$32.34	$172.40	$451.13
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 $361.14 / $424.87 / $502.53	Professional		$361.14	$424.87	$502.53
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $230.47 / $271.14 / $328.89	Professional	26	$230.47	$271.14	$328.89
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $130.66 / $153.72 / $173.65	Professional	TC	$130.66	$153.72	$173.65
United Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $435.60 / $584.79	Professional		$320.02	$435.60	$584.79
United Facility/Professional Professional Modifier 26 Low / Median / High Price $199.56 / $270.99 / $377.30	Professional	26	$199.56	$270.99	$377.30
United Facility/Professional Professional Modifier TC Low / Median / High Price $121.98 / $166.92 / $224.70	Professional	TC	$121.98	$166.92	$224.70