Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.79 / $129.06 / $260.02	Facility	26	$112.79	$129.06	$260.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $99.05 / $118.02 / $132.88	Professional	26	$99.05	$118.02	$132.88
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $78.40 / $102.09 / $107.20	Facility	26	$78.40	$102.09	$107.20
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.00 / $60.00 / $60.00	Facility	26	$60.00	$60.00	$60.00
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $3,312.81 / $3,312.81 / $3,312.81	Facility	26	$3,312.81	$3,312.81	$3,312.81