Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $250.39 / $274.83 / $562.77	Facility	26	$250.39	$274.83	$562.77
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $216.46 / $259.58 / $292.26	Professional	26	$216.46	$259.58	$292.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $158.43 / $219.09 / $230.48	Facility	26	$158.43	$219.09	$230.48
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $131.86 / $131.86 / $131.86	Facility	26	$131.86	$131.86	$131.86
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $14,373.77 / $14,373.77 / $14,373.77	Facility	26	$14,373.77	$14,373.77	$14,373.77