Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $128.88 / $147.08 / $296.11	Facility	26	$128.88	$147.08	$296.11
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.56 / $68.56 / $68.56	Facility	26	$68.56	$68.56	$68.56
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $112.85 / $134.34 / $151.26	Professional	26	$112.85	$134.34	$151.26
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $88.69 / $116.32 / $121.94	Facility	26	$88.69	$116.32	$121.94
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $68.56 / $68.56 / $68.56	Facility	26	$68.56	$68.56	$68.56
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