Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $104.71 / $302.00	Professional		$48.98	$104.71	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $123.03 / $281.84	Professional		$57.54	$123.03	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $123.03 / $251.19	Professional		$61.66	$123.03	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $54.95	Professional		$32.36	$32.36	$54.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $263.03	Professional		$74.13	$144.54	$263.03
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $239.88	Professional		$70.79	$138.04	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $117.49 / $229.09	Professional		$63.10	$117.49	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $81.28 / $147.91	Professional		$42.66	$81.28	$147.91