Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.92 / $100.02 / $259.82	Facility		$38.92	$100.02	$259.82
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $51.19 / $93.94 / $148.26	Facility	CQ	$51.19	$93.94	$148.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $32.94 / $259.89	Professional		$14.40	$32.94	$259.89
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $22.84 / $39.27 / $55.04	Professional	CQ	$22.84	$39.27	$55.04
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 $31.02 / $61.95 / $101.63	Professional		$31.02	$61.95	$101.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $72.98 / $84.15	Professional		$33.72	$72.98	$84.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.90 / $47.22 / $87.77	Facility		$26.90	$47.22	$87.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $55.68 / $76.20	Professional		$37.78	$55.68	$76.20
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $30.99 / $30.99 / $36.85	Professional	CQ	$30.99	$30.99	$36.85
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.59 / $63.01 / $67.67	Facility		$44.59	$63.01	$67.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $90.00 / $120.00	Facility		$81.09	$90.00	$120.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $63.63 / $93.50	Professional		$38.08	$63.63	$93.50
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $61.36 / $90.79 / $131.99	Facility		$61.36	$90.79	$131.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $41.08 / $91.89	Professional		$34.85	$41.08	$91.89
United Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $36.09 / $85.15	Professional		$31.86	$36.09	$85.15