Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $489.78	Professional		$125.89	$229.09	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $302.00 / $630.96	Professional		$154.88	$302.00	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $562.34	Professional		$154.88	$288.40	$562.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $346.74 / $645.65	Professional		$186.21	$346.74	$645.65
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $346.74 / $549.54	Professional		$204.17	$346.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $251.19 / $467.74	Professional		$141.25	$251.19	$467.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $407.38	Professional		$125.89	$234.42	$407.38