Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $140.05 / $160.32 / $322.58	Facility	26	$140.05	$160.32	$322.58
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $124.69 / $148.47 / $167.17	Professional	26	$124.69	$148.47	$167.17
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $97.51 / $128.53 / $131.99	Facility	26	$97.51	$128.53	$131.99
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $74.83 / $74.83 / $74.83	Facility	26	$74.83	$74.83	$74.83
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