Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $82.97 / $96.36 / $194.63	Facility	26	$82.97	$96.36	$194.63
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $44.41 / $44.41 / $44.41	Facility	26	$44.41	$44.41	$44.41
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $74.43 / $88.94 / $100.14	Professional	26	$74.43	$88.94	$100.14
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $42.18 / $64.41 / $77.05	Facility	26	$42.18	$64.41	$77.05
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $44.41 / $44.41 / $44.41	Facility	26	$44.41	$44.41	$44.41
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $5,714.78 / $5,714.78 / $5,714.78	Facility	26	$5,714.78	$5,714.78	$5,714.78