Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.64 / $56.92 / $114.94	Facility	26	$49.64	$56.92	$114.94
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $44.01 / $52.55 / $59.17	Professional	26	$44.01	$52.55	$59.17
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $34.29 / $45.35 / $46.90	Facility	26	$34.29	$45.35	$46.90
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.26 / $26.26 / $26.26	Facility	26	$26.26	$26.26	$26.26
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