Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $237.96 / $270.52 / $599.20	Facility	26	$237.96	$270.52	$599.20
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $229.50 / $264.19 / $308.75	Professional	26	$229.50	$264.19	$308.75
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $175.91 / $236.57 / $241.20	Facility	26	$175.91	$236.57	$241.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $137.06 / $137.06 / $137.06	Facility	26	$137.06	$137.06	$137.06
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