Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $138.63 / $159.50 / $320.76	Facility	26	$138.63	$159.50	$320.76
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	26	$74.48	$74.48	$74.48
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $123.42 / $146.84 / $165.33	Professional	26	$123.42	$146.84	$165.33
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $97.02 / $127.21 / $134.00	Facility	26	$97.02	$127.21	$134.00
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	26	$74.48	$74.48	$74.48
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