Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $66.07	Facility		$10.96	$16.22	$66.07
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $18.20 / $18.20 / $588.84	Facility	CQ	$18.20	$18.20	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $38.02	Professional		$7.94	$10.00	$38.02
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $8.71 / $8.71 / $9.12	Professional	CQ	$8.71	$8.71	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.30 / $30.90	Professional		$13.49	$26.30	$30.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.45 / $30.20	Facility		$10.47	$14.45	$30.20
Moda Health Facility/Professional Facility Modifier CQ Low / Median / High Price $18.20 / $18.20 / $18.20	Facility	CQ	$18.20	$18.20	$18.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $33.11	Professional		$19.50	$24.55	$33.11
Moda Health Facility/Professional Professional Modifier CQ Low / Median / High Price $7.76 / $8.71 / $9.12	Professional	CQ	$7.76	$8.71	$9.12
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.44 / $26.30	Facility		$19.05	$23.44	$26.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.60 / $29.51	Facility		$10.47	$16.60	$29.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $23.99 / $70.79	Professional		$11.75	$23.99	$70.79
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.36 / $48.98	Facility		$17.38	$32.36	$48.98
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $25.12 / $34.67	Professional		$17.78	$25.12	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $20.42	Facility		$13.80	$13.80	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $24.55 / $38.02	Professional		$14.45	$24.55	$38.02