Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $107.54 / $143.88	Professional		$98.12	$107.54	$143.88
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $53.23 / $57.36 / $83.50	Professional	TC	$53.23	$57.36	$83.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.62 / $166.63 / $200.94	Professional		$117.62	$166.63	$200.94
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $62.77 / $88.93 / $107.24	Professional	TC	$62.77	$88.93	$107.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.97 / $150.57 / $172.08	Professional		$141.97	$150.57	$172.08
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $70.45 / $81.13 / $86.68	Professional	TC	$70.45	$81.13	$86.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $67.34 / $140.21	Professional		$32.34	$67.34	$140.21
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 $120.10 / $141.29 / $168.80	Professional		$120.10	$141.29	$168.80
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $63.01 / $74.13 / $86.82	Professional	TC	$63.01	$74.13	$86.82
United Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $139.50 / $189.72	Professional		$105.72	$139.50	$189.72
United Facility/Professional Professional Modifier TC Low / Median / High Price $53.43 / $76.15 / $98.71	Professional	TC	$53.43	$76.15	$98.71