Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $63.10 / $234.42	Facility		$26.92	$63.10	$234.42
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $70.79 / $112.20 / $114.82	Facility	CQ	$70.79	$112.20	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $114.82	Professional		$14.45	$22.91	$114.82
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $21.88 / $56.23	Professional	CQ	$17.38	$21.88	$56.23
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 $23.99 / $31.62 / $77.62	Professional		$23.99	$31.62	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $31.62 / $67.61	Facility		$23.99	$31.62	$67.61
Moda Health Facility/Professional Facility Modifier CQ Low / Median / High Price $70.79 / $112.20 / $114.82	Facility	CQ	$70.79	$112.20	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $70.79	Professional		$29.51	$48.98	$70.79
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $17.38 / $21.88 / $56.23	Professional	CQ	$17.38	$21.88	$56.23
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.70 / $58.88	Facility		$38.90	$53.70	$58.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $32.36 / $74.13	Facility		$22.39	$32.36	$74.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $58.88 / $79.43	Professional		$30.20	$58.88	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $77.62 / $120.23	Facility		$43.65	$77.62	$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 $26.30 / $29.51 / $63.10	Professional		$26.30	$29.51	$63.10