Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $363.08	Professional		$112.20	$151.36	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $354.81	Professional		$141.25	$234.42	$354.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $263.03 / $4,365.16	Professional		$173.78	$263.03	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $52.48	Professional		$32.36	$33.11	$52.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $263.03 / $338.84	Professional		$158.49	$263.03	$338.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $309.03	Professional		$154.88	$229.09	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $309.03	Professional		$120.23	$173.78	$309.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $194.98	Professional		$117.49	$138.04	$194.98