Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $25.42 / $40.17	Facility		$19.98	$25.42	$40.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $15.84 / $45.24	Professional		$11.48	$15.84	$45.24
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $12.70 / $12.70 / $12.70	Professional	CQ	$12.70	$12.70	$12.70
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 $16.29 / $31.48 / $54.65	Professional		$16.29	$31.48	$54.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $39.68 / $45.78	Professional		$34.64	$39.68	$45.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $23.25 / $42.30	Facility		$14.95	$23.25	$42.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $30.38 / $42.63	Professional		$22.01	$30.38	$42.63
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $32.83 / $36.18	Facility		$23.74	$32.83	$36.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.55 / $30.13 / $54.29	Facility		$15.55	$30.13	$54.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $33.31 / $47.45	Professional		$21.07	$33.31	$47.45
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $31.91 / $47.64 / $70.59	Facility		$31.91	$47.64	$70.59
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $21.56 / $48.22	Professional		$20.48	$21.56	$48.22
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $18.77 / $44.01	Professional		$17.54	$18.77	$44.01