Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $21.54 / $39.44 / $78.01	Facility	26	$21.54	$39.44	$78.01
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $29.56 / $35.33 / $39.77	Professional	26	$29.56	$35.33	$39.77
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $23.03 / $30.47 / $31.49	Facility	26	$23.03	$30.47	$31.49
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $17.75 / $17.75 / $17.75	Facility	26	$17.75	$17.75	$17.75
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $782.93 / $782.93 / $782.93	Facility	26	$782.93	$782.93	$782.93