Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $47.56 / $54.11 / $108.95	Facility	26	$47.56	$54.11	$108.95
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.18 / $25.18 / $25.18	Facility	26	$25.18	$25.18	$25.18
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $41.44 / $49.32 / $55.53	Professional	26	$41.44	$49.32	$55.53
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $32.83 / $42.70 / $44.89	Facility	26	$32.83	$42.70	$44.89
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $25.18 / $25.18 / $25.18	Facility	26	$25.18	$25.18	$25.18
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $1,640.24 / $1,640.24 / $1,640.24	Facility	26	$1,640.24	$1,640.24	$1,640.24