Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $575.44	Professional		$181.97	$234.42	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $588.84	Professional		$234.42	$389.05	$588.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $416.87 / $1,202.26	Professional		$263.03	$416.87	$1,202.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $64.57	Professional		$32.36	$33.11	$64.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $549.54	Professional		$263.03	$436.52	$549.54
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $489.78	Professional		$269.15	$371.54	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $537.03	Professional		$181.97	$295.12	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $323.59	Professional		$173.78	$234.42	$323.59