Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.93 / $65.98 / $372.38	Facility		$36.93	$65.98	$372.38
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $229.83 / $229.83 / $229.83	Facility	CQ	$229.83	$229.83	$229.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $30.42 / $182.52	Professional		$14.40	$30.42	$182.52
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $28.48 / $28.48 / $83.79	Professional	CQ	$28.48	$28.48	$83.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $100.00 / $120.00	Facility		$50.00	$100.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $62.00 / $100.83	Professional		$31.41	$62.00	$100.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $62.84 / $73.43 / $84.09	Professional		$62.84	$73.43	$84.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $42.93 / $85.68	Facility		$25.86	$42.93	$85.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $56.04 / $76.50	Professional		$38.22	$56.04	$76.50
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $64.19 / $66.33	Facility		$44.65	$64.19	$66.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.19 / $45.63 / $85.68	Facility		$27.19	$45.63	$85.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $62.57 / $91.05	Professional		$38.09	$62.57	$91.05
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $89.40 / $128.06	Facility		$59.53	$89.40	$128.06
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $39.86 / $90.13	Professional		$37.86	$39.86	$90.13
United Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $35.01 / $80.91	Professional		$31.51	$35.01	$80.91