Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $12.68 / $20.39 / $45.59	Facility	26	$12.68	$20.39	$45.59
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $17.26 / $20.64 / $23.24	Professional	26	$17.26	$20.64	$23.24
Pacific Source Facility/Professional Facility Modifier 26 Low / Median / High Price $13.23 / $17.79 / $18.09	Facility	26	$13.23	$17.79	$18.09
Providence Facility/Professional Facility Modifier 26 Low / Median / High Price $10.40 / $10.40 / $10.40	Facility	26	$10.40	$10.40	$10.40
Regence BlueShield Facility/Professional Facility Modifier 26 Low / Median / High Price $385.75 / $385.75 / $385.75	Facility	26	$385.75	$385.75	$385.75