Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.15 / $102.64 / $208.10	Facility	26	$90.15	$102.64	$208.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $48.31 / $48.31	Facility	26	$48.31	$48.31	$48.31
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $79.88 / $95.84 / $107.90	Professional	26	$79.88	$95.84	$107.90
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $62.23 / $82.33 / $85.09	Facility	26	$62.23	$82.33	$85.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $48.31 / $48.31 / $48.31	Facility	26	$48.31	$48.31	$48.31
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $2,064.48 / $2,064.48 / $2,064.48	Facility	26	$2,064.48	$2,064.48	$2,064.48