Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $337.16 / $386.25 / $781.70	Facility	26	$337.16	$386.25	$781.70
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $299.17 / $344.39 / $403.28	Professional	26	$299.17	$344.39	$403.28
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $226.38 / $308.38 / $313.56	Facility	26	$226.38	$308.38	$313.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $179.34 / $179.34 / $179.34	Facility	26	$179.34	$179.34	$179.34
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