Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $175.71 / $199.25	Professional		$147.91	$175.71	$199.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $122.10 / $147.11 / $169.43	Professional	TC	$122.10	$147.11	$169.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $225.02 / $264.99	Professional		$162.24	$225.02	$264.99
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $129.87 / $175.78 / $211.97	Professional	TC	$129.87	$175.78	$211.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $299.44 / $342.22	Professional		$282.33	$299.44	$342.22
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $233.70 / $254.17 / $290.48	Professional	TC	$233.70	$254.17	$290.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.38 / $273.19	Professional		$32.34	$48.38	$273.19
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $513.03 / $513.03 / $513.03	Facility	26	$513.03	$513.03	$513.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $206.51 / $272.13 / $283.42	Professional		$206.51	$272.13	$283.42
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $170.48 / $232.33 / $235.49	Professional	TC	$170.48	$232.33	$235.49
United Facility/Professional Professional Modifier Low / Median / High Price $142.50 / $206.26 / $288.00	Professional		$142.50	$206.26	$288.00
United Facility/Professional Professional Modifier TC Low / Median / High Price $112.93 / $169.86 / $240.60	Professional	TC	$112.93	$169.86	$240.60