Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $110.98 / $127.37 / $256.36	Facility	26	$110.98	$127.37	$256.36
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $59.30 / $59.30 / $59.30	Facility	26	$59.30	$59.30	$59.30
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $98.40 / $117.19 / $131.94	Professional	26	$98.40	$117.19	$131.94
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $77.91 / $101.43 / $106.76	Facility	26	$77.91	$101.43	$106.76
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $59.30 / $59.30 / $59.30	Facility	26	$59.30	$59.30	$59.30
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