Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.78 / $68.47 / $138.25	Facility	26	$60.78	$68.47	$138.25
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $53.07 / $63.39 / $71.37	Professional	26	$53.07	$63.39	$71.37
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $29.64 / $47.88 / $56.28	Facility	26	$29.64	$47.88	$56.28
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $31.67 / $31.67 / $31.67	Facility	26	$31.67	$31.67	$31.67
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