Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $177.44 / $202.80 / $409.81	Facility	26	$177.44	$202.80	$409.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $93.76 / $93.76 / $93.76	Facility	26	$93.76	$93.76	$93.76
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $155.53 / $179.75 / $209.23	Professional	26	$155.53	$179.75	$209.23
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $120.54 / $160.31 / $165.49	Facility	26	$120.54	$160.31	$165.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $93.76 / $93.76 / $93.76	Facility	26	$93.76	$93.76	$93.76
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,298.07 / $2,298.07 / $2,298.07	Facility	26	$2,298.07	$2,298.07	$2,298.07