Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.69 / $70.40 / $126.32	Facility		$30.69	$70.40	$126.32
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $53.60 / $70.40 / $95.14	Facility	CQ	$53.60	$70.40	$95.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $27.68 / $53.20	Professional		$15.28	$27.68	$53.20
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $15.48 / $38.38 / $44.71	Professional	CQ	$15.48	$38.38	$44.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $75.00 / $100.00	Facility		$70.00	$75.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $36.69 / $114.34	Professional		$24.76	$36.69	$114.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $28.37 / $72.00	Facility		$21.19	$28.37	$72.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $44.83 / $54.34	Professional		$28.81	$44.83	$54.34
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $18.39 / $20.42 / $28.01	Professional	CQ	$18.39	$20.42	$28.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $40.01	Professional		$32.34	$32.34	$40.01
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $40.44 / $40.44 / $60.39	Facility		$40.44	$40.44	$60.39
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $29.00 / $39.20	Professional		$24.65	$29.00	$39.20
United Facility/Professional Professional Modifier Low / Median / High Price $25.98 / $28.87 / $30.51	Professional		$25.98	$28.87	$30.51