Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $607.53 / $607.53	Professional		$607.53	$607.53	$607.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $326.58 / $326.58 / $3,495.86	Professional	26	$326.58	$326.58	$3,495.86
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $280.95 / $280.95 / $280.95	Professional	TC	$280.95	$280.95	$280.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $925.79 / $925.79 / $1,918.00	Professional		$925.79	$925.79	$1,918.00
Moda Health Facility/Professional Professional Modifier 26 Low / Median / High Price $491.12 / $491.12 / $491.12	Professional	26	$491.12	$491.12	$491.12
Moda Health Facility/Professional Professional Modifier TC Low / Median / High Price $434.67 / $434.67 / $434.67	Professional	TC	$434.67	$434.67	$434.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.19 / $1,370.00 / $2,005.68	Professional		$857.19	$1,370.00	$2,005.68
Premera BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $242.82 / $645.00 / $944.28	Professional	26	$242.82	$645.00	$944.28
Premera BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $614.36 / $725.00 / $1,061.40	Professional	TC	$614.36	$725.00	$1,061.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,361.25 / $1,522.50 / $2,232.94	Professional		$1,361.25	$1,522.50	$2,232.94
Providence Facility/Professional Professional Modifier 26 Low / Median / High Price $642.50 / $768.00 / $960.15	Professional	26	$642.50	$768.00	$960.15
Providence Facility/Professional Professional Modifier TC Low / Median / High Price $718.75 / $754.50 / $1,272.80	Professional	TC	$718.75	$754.50	$1,272.80
United Facility/Professional Professional Modifier Low / Median / High Price $588.48 / $588.48 / $1,311.30	Professional		$588.48	$588.48	$1,311.30
United Facility/Professional Professional Modifier 26 Low / Median / High Price $277.05 / $512.05 / $768.09	Professional	26	$277.05	$512.05	$768.09
United Facility/Professional Professional Modifier TC Low / Median / High Price $543.21 / $543.21 / $543.21	Professional	TC	$543.21	$543.21	$543.21