Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $360.47 / $414.86 / $844.42	Facility	26	$360.47	$414.86	$844.42
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $189.68 / $189.68 / $189.68	Facility	26	$189.68	$189.68	$189.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $318.85 / $366.92 / $431.89	Professional	26	$318.85	$366.92	$431.89
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $236.67 / $318.20 / $332.32	Facility	26	$236.67	$318.20	$332.32
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $189.68 / $189.68 / $189.68	Facility	26	$189.68	$189.68	$189.68
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $851.78 / $851.78 / $851.78	Facility	26	$851.78	$851.78	$851.78