Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.41 / $26.40	Facility		$13.36	$13.41	$26.40
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.40 / $70.40 / $70.40	Facility	CQ	$70.40	$70.40	$70.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.21 / $13.76 / $27.16	Professional		$9.21	$13.76	$27.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $108.00 / $120.00	Facility		$75.00	$108.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $24.84 / $46.30	Professional		$12.53	$24.84	$46.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $26.38 / $30.40	Professional		$19.17	$26.38	$30.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $16.54 / $47.31	Facility		$10.91	$16.54	$47.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $23.28 / $33.47	Professional		$15.13	$23.28	$33.47
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.25 / $23.45 / $36.72	Facility		$19.25	$23.45	$36.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $90.00 / $120.00	Facility		$30.03	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $24.70 / $36.04	Professional		$15.14	$24.70	$36.04
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $21.47 / $35.01 / $45.74	Facility		$21.47	$35.01	$45.74
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $13.52 / $14.23 / $32.20	Professional		$13.52	$14.23	$32.20
United Facility/Professional Professional Modifier Low / Median / High Price $11.37 / $12.63 / $29.80	Professional		$11.37	$12.63	$29.80