Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $131.83 / $302.00	Facility		$33.11	$131.83	$302.00
Aetna Facility/Professional Facility Modifier CO Low / Median / High Price $89.13 / $229.09 / $229.09	Facility	CO	$89.13	$229.09	$229.09
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $57.54 / $95.50 / $371.54	Facility	CQ	$57.54	$95.50	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $48.98 / $158.49	Professional		$19.05	$48.98	$158.49
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.39 / $51.29 / $109.65	Professional	CQ	$22.39	$51.29	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $104.71 / $120.23	Facility		$75.86	$104.71	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $79.43	Professional		$26.92	$32.36	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $60.26 / $74.13	Professional		$30.90	$60.26	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.88 / $190.55	Facility		$25.70	$33.88	$190.55
Moda Health Facility/Professional Facility Modifier CO Low / Median / High Price $89.13 / $89.13 / $229.09	Facility	CO	$89.13	$89.13	$229.09
Moda Health Facility/Professional Facility Modifier CQ Low / Median / High Price $50.12 / $204.17 / $436.52	Facility	CQ	$50.12	$204.17	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $75.86	Professional		$28.84	$50.12	$75.86
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $28.84 / $53.70 / $131.83	Professional	CQ	$28.84	$53.70	$131.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $58.88 / $61.66	Facility		$44.67	$58.88	$61.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $77.62	Facility		$22.91	$33.11	$77.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $60.26 / $79.43	Professional		$30.20	$60.26	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $79.43 / $120.23	Facility		$43.65	$79.43	$120.23
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $77.62	Professional		$30.20	$36.31	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $46.77	Facility		$31.62	$31.62	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $63.10	Professional		$26.92	$31.62	$63.10