Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $139.13 / $160.78 / $325.56	Facility	26	$139.13	$160.78	$325.56
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $124.15 / $144.33 / $167.33	Professional	26	$124.15	$144.33	$167.33
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $93.59 / $123.84 / $129.31	Facility	26	$93.59	$123.84	$129.31
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.26 / $74.26 / $74.26	Facility	26	$74.26	$74.26	$74.26
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