Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $327.70 / $376.28 / $765.96	Facility	26	$327.70	$376.28	$765.96
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $288.20 / $331.69 / $390.37	Professional	26	$288.20	$331.69	$390.37
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $238.83 / $297.01 / $317.56	Facility	26	$238.83	$297.01	$317.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $172.08 / $172.08 / $172.08	Facility	26	$172.08	$172.08	$172.08
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