Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $49.11 / $56.30 / $113.36	Facility	26	$49.11	$56.30	$113.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $26.68 / $26.68 / $26.68	Facility	26	$26.68	$26.68	$26.68
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $43.32 / $51.63 / $58.13	Professional	26	$43.32	$51.63	$58.13
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $33.81 / $44.66 / $47.61	Facility	26	$33.81	$44.66	$47.61
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $26.68 / $26.68 / $26.68	Facility	26	$26.68	$26.68	$26.68
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $8,401.03 / $8,401.03 / $8,401.03	Facility	26	$8,401.03	$8,401.03	$8,401.03