Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $380.19	Professional		$123.03	$158.49	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $269.15 / $416.87	Professional		$165.96	$269.15	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $398.11	Professional		$169.82	$288.40	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $56.23	Professional		$32.36	$33.11	$56.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $295.12 / $380.19	Professional		$177.83	$295.12	$380.19
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $338.84	Professional		$177.83	$257.04	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $208.93 / $371.54	Professional		$128.82	$208.93	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $218.78	Professional		$114.82	$154.88	$218.78