Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $109.56 / $127.07 / $255.72	Facility	26	$109.56	$127.07	$255.72
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	26	$59.32	$59.32	$59.32
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $97.54 / $116.06 / $130.66	Professional	26	$97.54	$116.06	$130.66
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $76.93 / $100.54 / $106.53	Facility	26	$76.93	$100.54	$106.53
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.32 / $59.32 / $59.32	Facility	26	$59.32	$59.32	$59.32
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