Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $257.04 / $645.65	Professional		$151.36	$257.04	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $338.84 / $741.31	Professional		$181.97	$338.84	$741.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $588.84	Professional		$194.98	$338.84	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $141.25	Professional		$32.36	$33.11	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $645.65	Professional		$229.09	$398.11	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $588.84	Professional		$213.80	$354.81	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $602.56	Professional		$194.98	$323.59	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $269.15 / $380.19	Professional		$147.91	$269.15	$380.19