Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $691.83	Professional		$144.54	$245.47	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $407.38 / $660.69	Professional		$245.47	$407.38	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $371.54 / $602.56	Professional		$218.78	$371.54	$602.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $371.54 / $616.60	Professional		$204.17	$371.54	$616.60
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $575.44	Professional		$234.42	$380.19	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $630.96	Professional		$204.17	$346.74	$630.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $338.84	Professional		$141.25	$239.88	$338.84