Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.10 / $132.91 / $268.19	Facility	26	$114.10	$132.91	$268.19
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $62.16 / $62.16	Facility	26	$62.16	$62.16	$62.16
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $102.83 / $122.75 / $138.19	Professional	26	$102.83	$122.75	$138.19
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $78.48 / $105.99 / $112.56	Facility	26	$78.48	$105.99	$112.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $62.16 / $62.16 / $62.16	Facility	26	$62.16	$62.16	$62.16
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