Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.86 / $74.86 / $74.86	Facility	26	$74.86	$74.86	$74.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.89 / $376.69 / $638.79	Professional		$292.89	$376.69	$638.79
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $146.44 / $199.25 / $254.41	Professional	52	$146.44	$199.25	$254.41
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $252.77 / $330.38 / $569.08	Professional	TC	$252.77	$330.38	$569.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.45 / $554.48 / $668.64	Professional		$411.45	$554.48	$668.64
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $356.65 / $480.11 / $578.96	Professional	TC	$356.65	$480.11	$578.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $596.16 / $632.29 / $722.62	Professional		$596.16	$632.29	$722.62
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $525.17 / $557.01 / $636.58	Professional	TC	$525.17	$557.01	$636.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $80.03 / $576.57	Professional		$32.34	$80.03	$576.57
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 $475.74 / $559.69 / $620.98	Professional		$475.74	$559.69	$620.98
Regence BlueShield Facility/Professional Professional Modifier TC Low / Median / High Price $419.49 / $493.52 / $541.38	Professional	TC	$419.49	$493.52	$541.38
United Facility/Professional Professional Modifier Low / Median / High Price $356.29 / $477.96 / $671.85	Professional		$356.29	$477.96	$671.85
United Facility/Professional Professional Modifier TC Low / Median / High Price $294.83 / $407.55 / $582.09	Professional	TC	$294.83	$407.55	$582.09