Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,698.24 / $3,467.37	Professional		$407.38	$1,698.24	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $1,318.26 / $5,495.41	Professional		$489.78	$1,318.26	$5,495.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $1,380.38 / $5,011.87	Professional		$524.81	$1,380.38	$5,011.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,454.71 / $5,248.07	Professional		$630.96	$2,454.71	$5,248.07
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,548.82 / $4,677.35	Professional		$676.08	$1,548.82	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,905.46 / $5,128.61	Professional		$501.19	$1,905.46	$5,128.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $676.08 / $2,818.38	Professional		$354.81	$676.08	$2,818.38