Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $258.19 / $292.45 / $590.24	Facility	26	$258.19	$292.45	$590.24
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $225.65 / $260.13 / $303.24	Professional	26	$225.65	$260.13	$303.24
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $186.87 / $232.59 / $240.62	Facility	26	$186.87	$232.59	$240.62
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	26	$135.26	$135.26	$135.26
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $782.93	Facility	26	$782.93	$782.93	$782.93