Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $3,162.28 / $7,762.47	Professional		$776.25	$3,162.28	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $3,311.31 / $10,964.78	Professional		$891.25	$3,311.31	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $3,630.78 / $9,120.11	Professional		$1,071.52	$3,630.78	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $407.38	Professional		$32.36	$33.11	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $10,000.00	Professional		$1,096.48	$2,570.40	$10,000.00
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,818.38 / $9,120.11	Professional		$1,047.13	$2,818.38	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $3,019.95 / $9,332.54	Professional		$977.24	$3,019.95	$9,332.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,348.96 / $5,888.44	Professional		$707.95	$1,348.96	$5,888.44