Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $91.19 / $120.58	Professional		$79.34	$91.19	$120.58
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.45 / $46.88 / $67.93	Professional	26	$41.45	$46.88	$67.93
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $37.35 / $44.93 / $70.45	Professional	TC	$37.35	$44.93	$70.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $140.97 / $170.00	Professional		$99.51	$140.97	$170.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $57.64 / $74.48 / $88.78	Professional	26	$57.64	$74.48	$88.78
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $47.54 / $67.36 / $81.22	Professional	TC	$47.54	$67.36	$81.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.24 / $146.62 / $167.56	Professional		$138.24	$146.62	$167.56
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $69.38 / $73.59 / $84.10	Professional	26	$69.38	$73.59	$84.10
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $68.84 / $73.03 / $83.46	Professional	TC	$68.84	$73.03	$83.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $66.05 / $136.80	Professional		$32.34	$66.05	$136.80
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $270.73 / $270.73 / $270.73	Facility	26	$270.73	$270.73	$270.73
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $130.84 / $152.80	Professional		$111.21	$130.84	$152.80
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $54.98 / $64.68 / $79.31	Professional	26	$54.98	$64.68	$79.31
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $56.24 / $66.17 / $73.48	Professional	TC	$56.24	$66.17	$73.48
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $125.41 / $165.24	Professional		$87.70	$125.41	$165.24
United Facility/Professional Professional Modifier 26 Low / Median / High Price $47.60 / $63.50 / $87.73	Professional	26	$47.60	$63.50	$87.73
United Facility/Professional Professional Modifier TC Low / Median / High Price $41.14 / $56.99 / $77.51	Professional	TC	$41.14	$56.99	$77.51