Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $112.92 / $128.80 / $258.89	Facility	26	$112.92	$128.80	$258.89
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.85 / $117.51 / $132.31	Professional	26	$98.85	$117.51	$132.31
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $82.32 / $101.88 / $112.56	Facility	26	$82.32	$101.88	$112.56
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	26	$60.17	$60.17	$60.17
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