Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.45 / $66.07	Facility		$12.02	$14.45	$66.07
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.80 / $13.80 / $66.07	Facility	CQ	$13.80	$13.80	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $58.88	Professional		$7.08	$10.96	$58.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $9.12 / $9.12 / $9.12	Professional	CQ	$9.12	$9.12	$9.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $22.39 / $36.31	Facility		$15.49	$22.39	$36.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $25.12	Professional		$19.95	$23.44	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.49 / $17.38	Facility		$8.32	$13.49	$17.38
Moda Health Facility/Professional Facility Modifier CQ Low / Median / High Price $13.80 / $13.80 / $66.07	Facility	CQ	$13.80	$13.80	$66.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $22.91 / $25.12	Professional		$10.96	$22.91	$25.12
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $9.12 / $9.12 / $9.12	Professional	CQ	$9.12	$9.12	$9.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $26.92	Facility		$17.38	$17.38	$26.92
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $23.99	Professional		$16.60	$19.95	$23.99
Select Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $12.02 / $30.90	Professional		$11.48	$12.02	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.38 / $23.44	Professional		$13.18	$17.38	$23.44