Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $181.20 / $216.62 / $439.81	Facility	26	$181.20	$216.62	$439.81
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $167.15 / $200.73 / $226.00	Professional	26	$167.15	$200.73	$226.00
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $119.19 / $164.82 / $180.23	Facility	26	$119.19	$164.82	$180.23
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $102.86 / $102.86 / $102.86	Facility	26	$102.86	$102.86	$102.86
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