Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $113.56 / $196.14	Professional		$64.31	$113.56	$196.14
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.27 / $36.35 / $52.98	Professional	26	$31.27	$36.35	$52.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $33.03 / $73.95 / $117.35	Professional	TC	$33.03	$73.95	$117.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.12 / $163.08 / $196.66	Professional		$115.12	$163.08	$196.66
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $43.15 / $56.85 / $67.76	Professional	26	$43.15	$56.85	$67.76
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $74.29 / $106.89 / $128.90	Professional	TC	$74.29	$106.89	$128.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $172.08 / $196.66	Professional		$162.24	$172.08	$196.66
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $53.91 / $57.17 / $65.34	Professional	26	$53.91	$57.17	$65.34
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $108.34 / $114.91 / $131.32	Professional	TC	$108.34	$114.91	$131.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $54.53 / $158.62	Professional		$32.34	$54.53	$158.62
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 $131.94 / $155.22 / $181.74	Professional		$131.94	$155.22	$181.74
Regence BlueShield Facility/Professional Professional Modifier 26 Low / Median / High Price $42.71 / $50.25 / $60.58	Professional	26	$42.71	$50.25	$60.58
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $89.22 / $104.97 / $121.16	Professional	TC	$89.22	$104.97	$121.16
United Facility/Professional Professional Modifier Low / Median / High Price $73.44 / $112.21 / $180.88	Professional		$73.44	$112.21	$180.88
United Facility/Professional Professional Modifier 26 Low / Median / High Price $35.72 / $50.00 / $67.31	Professional	26	$35.72	$50.00	$67.31
United Facility/Professional Professional Modifier TC Low / Median / High Price $38.52 / $63.46 / $113.56	Professional	TC	$38.52	$63.46	$113.56