Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.55 / $15.72 / $66.00	Facility		$11.55	$15.72	$66.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $594.22 / $594.22 / $594.22	Facility	CQ	$594.22	$594.22	$594.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.05 / $20.88	Professional		$8.94	$10.05	$20.88
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.74 / $8.74 / $9.06	Professional	CQ	$8.74	$8.74	$9.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.31 / $11.31	Professional		$11.31	$11.31	$11.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $25.42 / $30.77	Professional		$20.56	$25.42	$30.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $15.48 / $31.59	Facility		$11.88	$15.48	$31.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.46 / $22.86 / $40.31	Professional		$20.46	$22.86	$40.31
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $18.13 / $23.45 / $26.52	Facility		$18.13	$23.45	$26.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $15.48 / $30.89	Facility		$11.88	$15.48	$30.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $23.40 / $34.25	Professional		$11.31	$23.40	$34.25
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $23.92 / $38.31 / $48.43	Facility		$23.92	$38.31	$48.43
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $19.48 / $28.72 / $38.36	Professional		$19.48	$28.72	$38.36
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $24.56 / $37.95	Professional		$18.32	$24.56	$37.95