Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $2,884.03 / $6,918.31	Professional		$181.97	$2,884.03	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $676.08 / $10,471.29	Professional		$288.40	$676.08	$10,471.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $5,248.07 / $10,232.93	Professional		$331.13	$5,248.07	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $91.20	Professional		$32.36	$33.11	$91.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $741.31 / $9,772.37	Professional		$288.40	$741.31	$9,772.37
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $4,365.16 / $8,912.51	Professional		$302.00	$4,365.16	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $3,981.07 / $10,000.00	Professional		$269.15	$3,981.07	$10,000.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $5,888.44	Professional		$190.55	$363.08	$5,888.44