Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $26.80 / $32.57	Facility		$16.48	$26.80	$32.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $14.40 / $36.01	Professional		$11.12	$14.40	$36.01
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $10.75 / $10.75 / $10.75	Professional	CQ	$10.75	$10.75	$10.75
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 $15.27 / $37.00 / $99.01	Professional		$15.27	$37.00	$99.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $32.32 / $37.28	Professional		$14.84	$32.32	$37.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $20.78 / $45.65	Facility		$12.98	$20.78	$45.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.93 / $26.04 / $37.01	Professional		$17.93	$26.04	$37.01
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.22 / $28.81 / $36.18	Facility		$23.22	$28.81	$36.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $90.00 / $120.00	Facility		$36.90	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $29.40 / $68.00	Professional		$17.66	$29.40	$68.00
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $40.14 / $56.18	Facility		$25.78	$40.14	$56.18
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $17.48 / $39.56	Professional		$16.62	$17.48	$39.56
United Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.16 / $35.54	Professional		$13.64	$15.16	$35.54