Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.32 / $58.57 / $124.80	Facility		$33.32	$58.57	$124.80
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $41.54 / $76.77 / $112.18	Facility	CQ	$41.54	$76.77	$112.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $20.87 / $115.00	Professional		$14.40	$20.87	$115.00
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.53 / $21.66 / $56.34	Professional	CQ	$17.53	$21.66	$56.34
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 $26.93 / $57.85 / $89.28	Professional		$26.93	$57.85	$89.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.22 / $69.05 / $75.62	Professional		$56.22	$69.05	$75.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $36.99 / $69.70	Facility		$24.18	$36.99	$69.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $48.60 / $68.52	Professional		$33.97	$48.60	$68.52
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $36.15 / $53.04 / $58.96	Facility		$36.15	$53.04	$58.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.23 / $42.58 / $75.51	Facility		$24.23	$42.58	$75.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $55.25 / $80.81	Professional		$33.02	$55.25	$80.81
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $52.78 / $79.09 / $114.99	Facility		$52.78	$79.09	$114.99
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $35.79 / $80.06	Professional		$34.00	$35.79	$80.06
United Facility/Professional Professional Modifier Low / Median / High Price $27.23 / $31.04 / $72.78	Professional		$27.23	$31.04	$72.78